Raven Devincenzo, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

217324 Issued in NY

Practice address

475 Seaview Ave
Staten Island, NY 10305-3436

Phone

(718) 226-9175

Fax

(718) 226-8198

NPI assigned

Jul 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Diagnostic Radiology

Education

State University of New York at Stony Brook, School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Holmdel Imaging LLCGroup PAC ID 7911921515, 4 clinicians

Empire State Radiology P CGroup PAC ID 4385075241, 266 clinicians

Coastal Imaging LLCGroup PAC ID 8123312055, 68 clinicians

Red Bank Radiologists, PAGroup PAC ID 7113941493, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Riverview Medical Center Hospital, Red Bank, NJ, CCN 310034
• St John's Riverside Hospital Hospital, Yonkers, NY, CCN 330208

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Merit-based Incentive Payment System (MIPS)

Final score

78.53 of 100Reported as group

Quality

57.06

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

86.27 of 100Reported as group

Quality

91.25

Improvement activities

40

Cost

65.57

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 27)

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

• Empire State Radiology P C

  • Diagnostic Radiology Physician
  • West Islip, NY
  • NPI 1255962783
  Medicare reassignment Care Compare group NPD
• Coastal Imaging LLC

  • Diagnostic Radiology Physician
  • Manahawkin, NJ
  • NPI 1710334727
  Medicare reassignment Care Compare group NPD
• Holmdel Imaging LLC

  • Diagnostic Radiology Physician
  • Holmdel, NJ
  • NPI 1629027339
  Medicare reassignment Care Compare group NPD
• Red Bank Radiologists, PA

  dba same

  • Diagnostic Radiology Physician
  • Little Silver, NJ
  • NPI 1598794463
  Medicare reassignment Care Compare group
• New York Bone and Joint Specialists, PLLC

  • Physical Therapist
  • New York, NY
  • NPI 1811060619
  Medicare reassignment NPD
• Health Village Imaging, LLC

  • Radiology Clinic/Center
  • Manahawkin, NJ
  • NPI 1194810978
  Medicare reassignment NPD
• Radiology Affiliates of Central New Jersey PC

  • Diagnostic Radiology Physician
  • Hamilton, NJ
  • NPI 1811994791

  NY

  Medicare reassignment NPD
• Regional Women's Health Group, LLC

  dba Axia Women's Health

  • Obstetrics & Gynecology Physician
  • Voorhees, NJ
  • NPI 1548215536

  Diagnostic Radiology

  Medicare reassignment NPD
• Hackensack Meridian Outpatient Services, Inc.

  dba Hackensack Meridian Imaging Freehold

  • Radiology Clinic/Center
  • Freehold, NJ
  • NPI 1396569125
  NPD
• Hackensack Meridian Outpatient Services, Inc.

  dba Hackensack Meridian Imaging Eatontown

  • Radiology Clinic/Center
  • Eatontown, NJ
  • NPI 1407573314
  NPD
• Regional Womens Health Group LLC

  dba Axia Women's Health

  • Obstetrics & Gynecology Physician
  • Phoenixville, PA
  • NPI 1750880118

  Diagnostic Radiology

  NPD
• Lenox Hill Radiology & Medical Imaging Associates, PC

  • Diagnostic Radiology Physician
  • New York, NY
  • NPI 1821036807
  NPD (past)

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

• St. John's Riverside Hospital

  • General Acute Care Hospital
  • Yonkers, NY
  • NPI 1578526695
  Care Compare affiliation
• HMH Hospitals Corporation

  dba Hackensack Meridian Diagnostic Laboratory

  • Clinical Medical Laboratory
  • Red Bank, NJ
  • NPI 1295452886

  Hospital

  Care Compare affiliation
• HMH Hospitals Corporation

  dba Riverview Medical Center

  • General Acute Care Hospital
  • Red Bank, NJ
  • NPI 1710499462
  Care Compare affiliation

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1104844117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4652",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070590652",
            "telephone_number": "718-226-9175",
            "fax_number": "718-226-8198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 SEAVIEW AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053436",
            "telephone_number": "718-226-9175",
            "fax_number": "718-226-8198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVINCENZO",
        "first_name": "RAVEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "217324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darlynne Ada Devenny, PHD
• Marc Devereaux, RN
• William C. Devery, L.C.S.W.
• Mzia Devic, RN
• Laura Ann Devincenzi, M.S.ED.
• Cassandra Devine, LMHC
• Kerry Devine, RN
• Stephanie Amber Devine
• Gabriella Devito, A-GNP-C
• Stephanie Marie Devito

• Diagnostic Radiology Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.