Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Deborah Jean Bostock, MD

Individual provider Family Medicine Physician · NPI 1407832306

Deborah Jean Bostock, MD is a Family Practice in Clifton, New Jersey. Graduated from Wake Forest University School of Medicine in 1985, 41 years ago. Practices with City Medical of Upper East Side PLLC, a 663-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey, New York, Tennessee and Virginia.

Years since qualifying
41
Trained at
Wake Forest University School of Medicine
Licensed in
NJ, NY, TN, VA
In the registry since
2005
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

852 Route 3
Clifton, NJ 07012-2343
Phone: (973) 450-1991
Fax: (973) 528-8009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 315 W 57th St, New York, NY 10019-3158 — (212) 315-2330

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 25MA11294900 (NJ)
Family Medicine Physician Taxonomy 207Q00000X · Licence 286649 (NY)
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X · Licence 0101241804 (VA)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD19935 (TN)

Record details

NPI number1407832306
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 22, 2005
Last updated in NPPESNovember 13, 2024
Certification dateNovember 13, 2024
Mailing address1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 1985 (41 years in practice)
Group practice City Medical Of Upper East Side Pllc — 663 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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