Organization Active NPI

Joseph J Devenuto Jr., P.C.

  • Specialist
  • Doylestown, PA
National Provider Identifier
1063692374
Registry record updated May 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD009403E Issued in PA
Legal business name
JOSEPH J DEVENUTO JR., P.C.
Practice address
485 N Main St
Doylestown, PA 18901-3403
Phone
(215) 345-6100
Fax
(215) 345-4151
NPI assigned
Nov 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2008

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

Authorized official

Name
Janene T Devenuto
Title
Supervisor
Phone
(215) 345-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD009403E PA Primary

Addresses

Primary practice location

485 N Main St
Doylestown, PA 18901-3403

Mailing address

485 N Main St
Doylestown, PA 18901-3403
Phone (215) 345-6100

Other identifiers 6

IdentifierTypeStateIssuer
0073819470003MedicaidPA
0021926000OtherPAKEYSTONE
119720OtherPABLUE SHIELD
20692OtherPAHEALTH PARTNERS
4247589OtherPAAETNA
1030535OtherKEYSTONE MERCY

National Provider Directory

National Provider Directory

Locations

1700 Whitehorse Hamilton Square Rd
#B1
Hamilton Square, NJ 08690

329 Lincoln Hwy
Fairless Hls, PA 19030
Phone (215) 945-0200

NPI Registry JSON

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1063692374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 N MAIN ST",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189013403",
            "telephone_number": "215-345-6100",
            "fax_number": "215-345-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 N MAIN ST",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189013403",
            "telephone_number": "215-345-6100",
            "fax_number": "215-345-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH J DEVENUTO JR., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "DEVENUTO",
        "authorized_official_first_name": "JANENE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "215-345-6100"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD009403E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0073819470003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "0021926000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "119720",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "20692",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4247589",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "1030535",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.