Individual provider Active NPI

Harry James Dounis, DO

  • Nephrology Physician
  • Neptune, NJ
National Provider Identifier
1124286083
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
25MB08752800 Issued in NJ
Practice address
2100 Corlies Ave
Suite 15
Neptune, NJ 07753-6102
Phone
(732) 988-8228
NPI assigned
May 28, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 25MB08752800 NJ Primary

Addresses

Primary practice location

2100 Corlies Ave
Suite 15
Neptune, NJ 07753-6102

Mailing address

2100 Corlies Ave
Suite 15
Neptune, NJ 07753-6102
Phone (732) 988-8228

Other identifiers 1

IdentifierTypeStateIssuer
0379859MedicaidNJ

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100721000795 NJ Practitioner - Nephrology 8820120165 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kidney Care CentersGroup PAC ID 6204279441, 23 clinicians

Practice addresses (Care Compare)

27 S Cooks Bridge Rd
Suite 2 11
Jackson, NJ 08527-2463
Phone (732) 460-1200

Hospital & facility affiliations

  • DaVita Freehold Dialysis Dialysis facility, Manalapan, NJ, CCN 312517
  • DCI Freehold Dialysis facility, Freehold, NJ, CCN 312544
  • FKC Brick Boulevard Dialysis facility, Brick, NJ, CCN 312563
  • Centrastate Medical Center Hospital, Freehold, NJ, CCN 310111
  • Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073
  • Ocean Medical Center Hospital, Brick, NJ, CCN 310052
  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB08752800NJMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shore Nephrology PA. Nephrology CurrentSince Jul 1, 2010 Accepting new patients
Kidney Care Centers Nephrology CurrentSince Feb 1, 2024 Accepting new patients
Fresenius Medical Care Brick Boulevard, LLC PastSince Dec 29, 2020 Accepting new patients

Locations

35 Beaverson Blvd
Ste 5C
Brick, NJ 08723
Phone (732) 219-0333

6 Industrial Way W
Ste B
Eatontown, NJ 07724
Phone (732) 460-1414

1 Bethany Rd
Ste 91
Hazlet, NJ 07730
Phone (732) 847-3662

27 S Cooks Bridge Rd
Ste 2-11
Jackson, NJ 08527
Phone (732) 836-3200

2100 State Route 33
Ste 15
Neptune, NJ 07753
Phone (732) 988-8228

1031 McBride Ave
Ste D209
Woodland Park, NJ 07424
Phone (973) 222-8387

Interoperability endpoints

  • Direct secure messaging: harry.dounis@direct.davitaphysiciansolutions.com
  • Direct secure messaging: hdounis98774@direct.ahsys.org

Organizations & group practices 3

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.

Hospital & facility affiliations 11

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": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412640000000",
    "number": "1124286083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 CORLIES AVE",
            "address_2": "SUITE 15",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077536102",
            "telephone_number": "732-988-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 CORLIES AVE",
            "address_2": "SUITE 15",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077536102",
            "telephone_number": "732-988-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUNIS",
        "first_name": "HARRY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-28",
        "last_updated": "2014-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MB08752800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0379859",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

Verify at the official NPI Registry.