Individual provider Active NPI

Andrew Devoid, PA-C

  • Physician Assistant
  • Wantage, NJ
National Provider Identifier
1053834952
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
178 Libertyville Rd
Wantage, NJ 07461-3022
Phone
(908) 208-3675
NPI assigned
Jul 23, 2017
Last updated
Feb 18, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

178 Libertyville Rd
Wantage, NJ 07461-3022

Mailing address

178 Libertyville Rd
Wantage, NJ 07461-3022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180219001236 NJ Practitioner - Physician Assistant 4486915212 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5596

333 Mount Hope Ave
Rockaway, NJ 07866-1645
Phone (973) 895-6601

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
One Oak Medical Group, LLC CurrentSince Jan 1, 2020 Accepting new patients
Tri-County Orthopaedic & Sports Medicine PA Physician Assistant CurrentSince Dec 26, 2017 Accepting new patients
One Oak Medical Group, LLC CurrentSince Jan 1, 2020 Accepting new patients

Locations

197 Ridgedale Ave
Ste 300
Cedar Knolls, NJ 07927
Phone (605) 216-3916

342 Hamburg Tpke
Wayne, NJ 07470
Phone (973) 595-7779

342 Hamburg Tpke
Ste 203
Wayne, NJ 07470
Phone (973) 333-4759

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/8a279096-6ad2-4c68-ac31-bf88e291604e/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1500768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1053834952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 LIBERTYVILLE RD",
            "city": "WANTAGE",
            "state": "NJ",
            "postal_code": "074613022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 LIBERTYVILLE RD",
            "city": "WANTAGE",
            "state": "NJ",
            "postal_code": "074613022",
            "telephone_number": "908-208-3675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVOID",
        "first_name": "ANDREW",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-23",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wantage, NJ

Sources for this page

Verify at the official NPI Registry.