NPIMap

Individual provider Active NPI

Anna Dedona, DO

  • Internal Medicine Physician
  • Brick, NJ
National Provider Identifier
1194721902
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MB0063860 Issued in NJ
Practice address
2125 Route 88 E
Brick, NJ 08724-3273
Phone
(732) 892-4548
Fax
(732) 892-0961
NPI assigned
Jun 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MB0063860 NJ Primary

Addresses

Primary practice location

2125 Route 88 E
Brick, NJ 08724-3273

Mailing address

2290 W County Line Rd
Jackson, NJ 08527-2267
Phone (732) 942-4455

Other identifiers 1

IdentifierTypeStateIssuer
7031203MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100222000400 NJ Practitioner - Internal Medicine 6507900065 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Somc Medical Group PCGroup PAC ID 4587799358, 28 clinicians

Practice addresses (Care Compare)

2125 Route 88 E
Brick, NJ 08724-3273
Phone (732) 892-4548

Hospital & facility affiliations

  • Hackensack Meridian at Home Ocean County Home health agency, Brick, NJ, CCN 317075
  • Visiting Nurse Association of Central Jersey Home Care and Hospice Home health agency, Toms River, NJ, CCN 317067
  • Bayada Home Health Care, Inc Home health agency, Whiting, NJ, CCN 317031
  • Holisticare Hospice of New Jersey, LLC Hospice, Toms River, NJ, CCN 311578
  • Hackensack Meridian Hospice Hospice, Neptune, NJ, CCN 311533
  • Ocean Medical Center Hospital, Brick, NJ, CCN 310052
  • Cape Regional Medical Center Inc Hospital, Cape May Court House, NJ, CCN 310011
  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108
  • Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073
  • Community Medical Center Hospital, Toms River, NJ, CCN 310041
  • Complete Care at Laurelton, LLC Nursing home, Brick, NJ, CCN 315274
  • Crest Pointe Rehabilitation and Healthcare Center Nursing home, PT Pleasant, NJ, CCN 315135

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB0063860NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Somc Medical Group PC Internal Medicine CurrentSince Apr 1, 2014 Accepting new patients
Ocean County Family Care, P.a. Internal Medicine CurrentSince Aug 9, 1996 Accepting new patients
HMH Hospitals Corporation Past Accepting new patients

Locations

1989 Route 88 E
Brick, NJ 08724
Phone (732) 840-8333

2125 Route 88 E
Brick, NJ 08724
Phone (732) 892-4548

27 S Cooks Bridge Rd
Ste 2-2
Jackson, NJ 08527
Phone (732) 364-3881

9 Mule Rd
Ste E10
Toms River, NJ 08755
Phone (732) 370-4222

9 Mule Rd
Ste 11
Toms River, NJ 08755
Phone (732) 797-1535

Interoperability endpoints

  • Direct secure messaging: anna.dedona@direct.hackensackmeridian.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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410825600000",
    "number": "1194721902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2290 W COUNTY LINE RD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085272267",
            "telephone_number": "732-942-4455",
            "fax_number": "732-942-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 ROUTE 88 E",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243273",
            "telephone_number": "732-892-4548",
            "fax_number": "732-892-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEDONA",
        "first_name": "ANNA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-27",
        "last_updated": "2014-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MB0063860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7031203",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.