DOROTEA DEFRANCESCO (PA) – Surgical Physician Assistant, NPI 1013086701

DOROTEA DEFRANCESCO (PA) is a healthcare provider. based in Tinton falls, New Jersey. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 25MP00091300 (NJ). The NPI Number for DOROTEA DEFRANCESCO (PA) is 1013086701

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
DOROTEA DEFRANCESCO (PA)
NPI
1013086701
Phone
(732) 212-0051
Address
66 W GILBERT ST
Enumeration Date
7 November 2006
Last Update Date
11 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2019152000
Graduation Year
2001 (25 years ago)
PAC ID
0840245858
Group Practice PAC ID
9537316955
Professional Enrollment ID
I20050314000010
Address ID
NJ073024321JE355XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,578 PHYSICIAN ASSISTANT in NJ

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Provider Addresses for DOROTEA DEFRANCESCO (PA)

  • 66, Gilbert Street West, Tinton Falls, Monmouth County, New Jersey, 07701, United States

    2ND FLOOR

    TINTON FALLS, NJ 077014947

    Phone: (732) 212-0051

    Fax: (732) 212-0713

    Type: Mailing

  • Clinical Academic Building, 125, Paterson Street, New Brunswick, Middlesex County, New Jersey, 08901, United States

    SUITE 4100

    NEW BRUNSWICK, NJ 089011962

    Phone: (732) 235-7800

    Fax: (732) 235-7013

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $1,156.

Total Amount is formed as General ($1,156) + Research ($0) + Ownership ($0) = $1,156.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($777).

Total Amount

$1,156

General + Research + Ownership

Payments

18

Total payment records

General Amount

$1,156

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-03-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050314000010IPhysician AssistantNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07701)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537316955View full group profile
NameSpecialtyState
-MA
Nurse PractitionerNJ
Nurse PractitionerNJ
Critical Care (Intensivists), Pulmonary DiseaseNJ
-NJ
General SurgeryNJ
O B S T E T R I C S/ G Y N E C O L O G YNJ
O B S T E T R I C S/ G Y N E C O L O G YNJ
General SurgeryNY
General SurgeryNJ

Reviews

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Frequently asked questions

How do payers reference DOROTEA DEFRANCESCO (PA)?
For DOROTEA DEFRANCESCO (PA), use NPI 1013086701 as the unique 10-digit identifier.
Is DOROTEA DEFRANCESCO (PA) still an active registrant?
DOROTEA DEFRANCESCO (PA) carries an active NPI according to the public dataset.
What kind of doctor is DOROTEA DEFRANCESCO (PA)?
DOROTEA DEFRANCESCO (PA) is associated with Surgical Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DOROTEA DEFRANCESCO (PA)?
Travel planning: use Tinton Falls, New Jersey as the reference point for DOROTEA DEFRANCESCO (PA), then confirm.
Does DOROTEA DEFRANCESCO (PA) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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