NPIMap

Organization Active NPI

Dimerhealth Medical Practice

  • Emergency Medicine Physician
  • Mendham, NJ
National Provider Identifier
1285338483
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
DIMERHEALTH MEDICAL PRACTICE
Practice address
4 Hampshire Dr
Mendham, NJ 07945-2004
Phone
(973) 464-8363
NPI assigned
Mar 30, 2023
Last updated
Mar 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Authorized official

Name
Caroline Hodge, PANPI 1417031030
Title
Ceo
Phone
(973) 464-8363

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Primary
Internal Medicine Physician 207R00000X
Physician Assistant 363A00000X

Addresses

Primary practice location

4 Hampshire Dr
Mendham, NJ 07945-2004

Mailing address

4 Hampshire Dr
Mendham, NJ 07945-2004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, TX, NY, PA, FL5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20230601002587 NJ Part B Supplier - Clinic/Group Practice 5991162257 Receives reassigned benefits from 35 practitioners
Practice locations: Mendham, NJ
O20251116000084 TX Part B Supplier - Clinic/Group Practice 5991162257 Receives reassigned benefits from 10 practitioners
Practice locations: Houston, TX
O20260204000154 NY Part B Supplier - Clinic/Group Practice 5991162257 Receives reassigned benefits from 26 practitioners
Practice locations: Albany, NY; Port Jervis, NY
O20260306001472 PA Part B Supplier - Clinic/Group Practice 5991162257 Receives reassigned benefits from 10 practitioners
Practice locations: Harrisburg, PA
O20260311001006 FL Part B Supplier - Clinic/Group Practice 5991162257 Receives reassigned benefits from 5 practitioners
Practice locations: Tallahassee, FL

National Provider Directory

National Provider Directory

Locations

123 Pike St
Ste 3
Port Jervis, NY 12771
Phone (973) 464-8363

5235 N Front St
Harrisburg, PA 17110
Phone (973) 566-1826

211 E 7th St
Ste 620
Austin, TX 78701
Phone (415) 742-8411

Practitioners & affiliated clinicians

Practitioners 40

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1285338483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HAMPSHIRE DR",
            "city": "MENDHAM",
            "state": "NJ",
            "postal_code": "079452004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HAMPSHIRE DR",
            "city": "MENDHAM",
            "state": "NJ",
            "postal_code": "079452004",
            "telephone_number": "973-464-8363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIMERHEALTH MEDICAL PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "HODGE",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-464-8363",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mendham, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.