Individual provider Active NPI

Lindsay Joy Dellavalle, DO

  • Family Medicine Physician
  • Neshanic Station, NJ
National Provider Identifier
1154529220
Registry record updated Jul 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB09325200 Issued in NJ
Practice address
925 US Highway 202
Neshanic Station, NJ 08853
Phone
(908) 788-9468
NPI assigned
Jul 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0102202345 VA
Family Medicine Physician 207Q00000X 25MB09325200 NJ Primary

Addresses

Primary practice location

925 US Highway 202
Neshanic Station, NJ 08853

Mailing address

PO Box 95000 LB# 7550
Philadelphia, PA 19195-7550
Phone (844) 362-1735

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
I20140325001083 NJ Practitioner - Family Practice 0941431563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Primary Care Partners LLCGroup PAC ID 2860665809, 74 clinicians

Practice addresses (Care Compare)

475 S St
Morristown, NJ 07960-6459
Phone (973) 971-5000

925 US Hwy 202
Neshanic Station, NJ 08853-3503
Phone (908) 788-9468

Hospital & facility affiliations

  • Hunterdon Medical Center Home Health Home health agency, Flemington, NJ, CCN 317043
  • Visiting Nurse Assoc of Northern New Jersey, Inc Home health agency, Morristown, NJ, CCN 317002
  • Hunterdon Medical Center Hospital, Flemington, NJ, CCN 310005
  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
  • Robert Wood Johnson University Hospital - Somerset Hospital, Somerville, NJ, CCN 310048

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB09325200NJMDFamily Medicine Physician
0102202345VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Partners, LLC Family Medicine Current Accepting new patients
Primary Care Partners, LLC CurrentSince Mar 1, 2014 Accepting new patients
Primary Care Partners LLC Past Accepting new patients

Locations

475 South St
Morristown, NJ 07960
Phone (973) 660-3166

465 South St
Ste 103
Morristown, NJ 07960
Phone (973) 971-7130

925 US Highway 202
Neshanic Station, NJ 08853
Phone (908) 788-9068

328A Sparta Ave
Sparta, NJ 07871
Phone (973) 729-2197

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 5

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": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531267200000",
    "number": "1154529220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000 LB# 7550",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191957550",
            "telephone_number": "844-362-1735",
            "fax_number": "973-290-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 US HIGHWAY 202",
            "city": "NESHANIC STATION",
            "state": "NJ",
            "postal_code": "08853",
            "telephone_number": "908-788-9468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLAVALLE",
        "first_name": "LINDSAY",
        "middle_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2018-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102202345",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB09325200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neshanic Station, NJ

Sources for this page

Verify at the official NPI Registry.