Individual provider Active NPI

David De Vinck, D.O.

  • Dermatopathology Physician
  • New York, NY
National Provider Identifier
1205095155
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
25MB08969500 Issued in NJ
Practice address
622 West 168TH St
PH 1564W
New York, NY 10032-3720
Phone
(212) 305-7399
NPI assigned
Jun 5, 2008
Last updated
Feb 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X 25MB08969500 NJ Primary
Anatomic Pathology Physician 207ZP0101X 25MB08969500 NJ
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 248863-1 NY

Addresses

Primary practice location

622 West 168TH St
PH 1564W
New York, NY 10032-3720

Mailing address

622 West 168TH St
PH 1564W
New York, NY 10032-3720
Phone (212) 305-7399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, CA, DE4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20100223000071 NY Practitioner - Pathology 8628112141 Reassigns benefits to 2 organizations
I20110822000382 NJ Practitioner - PathologyPractitioner - Dermatology 8628112141 Reassigns benefits to 11 organizations
I20160525003198 CA Practitioner - Pathology 8628112141 Reassigns benefits to 1 organization
I20250423001728 DE Practitioner - Pathology 8628112141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PathologyAlso: Dermatology
Education
Rowan University School of Osteopathic Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morristown Pathology Associates PAGroup PAC ID 4981699717, 26 clinicians
Clearsolutions Dermatology Group New JerseyGroup PAC ID 2466890025, 2 clinicians
Boltrope Podiatry Ny PLLCGroup PAC ID 5496135329, 32 clinicians
Patricia C McCormack MD PCGroup PAC ID 7810150109, 10 clinicians
Promed Pathology LLCGroup PAC ID 6709103757, 8 clinicians
Premier Dermatology Clinic LLCGroup PAC ID 8426463738, 3 clinicians
Clearsolutions Dermatology GroupGroup PAC ID 4981078953, 4 clinicians
Curalta Medical LLCGroup PAC ID 0749670453, 69 clinicians

Practice addresses (Care Compare)

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5600

101 Prosper Way
Unit 4
Brick, NJ 08723-3539
Phone (877) 425-7756

111 Main St
Nanuet, NY 10954-2884
Phone (845) 623-5863

1550 Richmond Ave
Staten Island, NY 10314-1578

205 Ridgedale Ave
Suite 4
Florham Park, NJ 07932-1349
Phone (973) 301-9500

2100 Wescott Dr
Hunterdon Medical Center Pathology
Flemington, NJ 08822-4603
Phone (908) 788-6623

3 Plaza Dr
Suite 17
Toms River, NJ 08757-3765
Phone (732) 934-4141

34434 King St Row
Suite 4
Lewes, DE 19958-4987
Phone (877) 425-7756

400 State RT
Suite 17
Ridgewood, NJ 07450-2010
Phone (201) 445-2288

515 N Wood Ave
Linden, NJ 07036-4038
Phone (908) 925-8877

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
248863-1NYMDAnatomic Pathology & Clinical Pathology Physician
11562CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clearsolutions Dermatology Group CurrentSince Feb 20, 2025 Accepting new patients
Summit Medical Group PA CurrentSince Aug 16, 2017 Accepting new patients
Steven M. Weissman, MD PLLC CurrentSince Jan 1, 2024 Accepting new patients
Essex Gastro Associates, PA CurrentSince Mar 16, 2024 Accepting new patients
Promed Pathology, LLC Anatomic Pathology & Clinical Pathology CurrentSince Oct 1, 2017 Accepting new patients
Cur Alta Medical Ny PLLC CurrentSince Jul 24, 2025 Accepting new patients
Maternal Fetal Medicine of Practice Associates, PA Current Accepting new patients
Premier Dermatology Clinic LLC CurrentSince Aug 1, 2024 Accepting new patients
Proactive Foot and Ankle CurrentSince Mar 15, 2023 Accepting new patients
Curalta Medical LLC CurrentSince Apr 25, 2023 Accepting new patients
Atlantic Dermatology Associates, LLC CurrentSince Oct 29, 2021 Accepting new patients
Patricia C McCormack MD PC CurrentSince Apr 1, 2022 Accepting new patients
Proactive Foot and Ankle CurrentSince Mar 15, 2023 Accepting new patients
Curalta Medical LLC Anatomic Pathology CurrentSince Apr 25, 2023 Accepting new patients
Dermatology and Skin Surgery Center, Professional Association CurrentSince May 15, 2022 Accepting new patients
Clearsolutions Dermatology Group New Jersey CurrentSince Jun 1, 2024 Accepting new patients
Csi Medical Group Dermatopathology CurrentSince Jun 15, 2016 Accepting new patients
Cur Alta Medical Ny PLLC Anatomic Pathology CurrentSince Jul 24, 2025 Accepting new patients
Morristown Pathology Associates, PA Anatomic Pathology & Clinical Pathology CurrentSince Aug 15, 2017 Accepting new patients
Summit Medical Group PA CurrentSince Aug 16, 2017 Accepting new patients
California Skin Institute, a Medical Corporation Dermatopathology Past Accepting new patients
Ahkami Dermatology Associates, LLC PastSince Oct 29, 2021 Accepting new patients
Trustees of Columbia University at Palisades Medical Center Anatomic Pathology Past Accepting new patients
Columbia Presbyterian Pathologists Anatomic Pathology Past Accepting new patients
Essex Endoscopy Center LLC PastSince Mar 16, 2024 Accepting new patients
RF Ledon M.D. P.C. PastSince Apr 1, 2022 Accepting new patients

Locations (25 of 30)

501 S Shore Ctr W
Ste 103A
Alameda, CA 94501
Phone (510) 227-7028

1524 McHenry Ave
Ste 470
Modesto, CA 95350
Phone (209) 525-8292

9781 Blue Larkspur Ln
Ste 100
Monterey, CA 93940
Phone (831) 333-9008

525 South Dr
Ste 115
Mountain View, CA 94040
Phone (408) 369-5600

909 Hyde St
Ste 419
San Francisco, CA 94109
Phone (415) 678-5887

2420 Samaritan Dr
San Jose, CA 95124
Phone (408) 369-5600

136 N San Mateo Dr
San Mateo, CA 94401
Phone (650) 348-1242

3562 Round Barn Cir
Ste 320
Santa Rosa, CA 95403
Phone (707) 578-1900

18988 Cox Ave
Ste B
Saratoga, CA 95070
Phone (408) 253-4407

1537 Savannah Rd
Ste A
Lewes, DE 19958
Phone (302) 412-0135

34434 King Street Row
Ste 4
Lewes, DE 19958
Phone (302) 360-0142

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

2100 Wescott Dr
Flemington, NJ 08822
Phone (908) 237-5420

205 Ridgedale Ave
Ste 4
Florham Park, NJ 07932
Phone (973) 301-9500

220 Ridgedale Ave
Ste A3
Florham Park, NJ 07932
Phone (973) 466-6333

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

27 S Cooks Bridge Rd
Ste 2-14
Jackson, NJ 08527
Phone (732) 876-3376

515 N Wood Ave
Linden, NJ 07036
Phone (908) 241-2030

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

275 Chestnut St
Ste 6
Newark, NJ 07105
Phone (973) 589-5545

74 Pascack Rd
Ste 6
Park Ridge, NJ 07656
Phone (201) 291-1113

130 Maple Ave
Ste 3B
Red Bank, NJ 07701
Phone (732) 747-2111

400 State Rt 17
Ridgewood, NJ 07450
Phone (201) 445-2288

3 Plaza Dr
Ste 17
Toms River, NJ 08757
Phone (732) 341-3535

504 Hamburg Tpke
Ste 101
Wayne, NJ 07470
Phone (973) 956-8600

Interoperability endpoints

  • Direct secure messaging: daviddevinck@essexgastro.medentdirect.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/CEEHAA/Endpoint/CEEHAA

Organizations & group practices 26

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

View all 26

Hospital & facility affiliations 1

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": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1205095155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 WEST 168TH ST",
            "address_2": "PH 1564W",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323720",
            "telephone_number": "212-305-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 WEST 168TH ST",
            "address_2": "PH 1564W",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323720",
            "telephone_number": "212-305-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE VINCK",
        "first_name": "DAVID",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-05",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "NJ",
            "license": "25MB08969500",
            "primary": true
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "NJ",
            "license": "25MB08969500",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "248863-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.