Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Debra Petrover, DO

Individual provider Child & Adolescent Psychiatry Physician · NPI 1326542077

Debra Petrover, DO practises Psychiatry in Lakewood, New Jersey. Qualified in 2018, 8 years ago. Practices with Lakewood Resource and Referral Center Inc, a 107-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
8
Licensed in
NJ, NY
In the registry since
2018
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1771 Madison Ave
Lakewood, NJ 08701-1242
Phone: (732) 364-2144
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7559 263rd St, Glen Oaks, NY 11004-1150 — (718) 470-4834

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence 25MB11915900 (NJ)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence 310189 (NY)

Record details

NPI number1326542077
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 19, 2018
Last updated in NPPESAugust 15, 2023
Certification dateAugust 15, 2023

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Lakewood Resource And Referral Center Inc — 107 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Lakewood Resource and Referral Center Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 107 clinicians in the practice; 12 are shown here.