Active NPI
Marc J Devito, M.D.
- Pediatrics Physician
- Little Silver, NJ
National Provider Identifier
1295920262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MA082323
- Practice address
- 180 White Rd
Suite 205
Little Silver, NJ 07739-1166 - Phone
- (732) 741-3770
- Fax
- (732) 741-3776
- NPI assigned
- Sep 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MA082323 | NJ | |
| Pediatrics Physician | 208000000X | MA082323 | NJ | Primary |
Addresses
Primary practice location
180 White Rd
Suite 205
Little Silver, NJ 07739-1166
Mailing address
180 White Rd
Suite 205
Little Silver, NJ 07739-1166
Phone (732) 741-3770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2016 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA082323 | NJ | MD | Pediatrics Physician |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DFBFAA/Endpoint/DFBFAA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226275200000",
"number": "1295920262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 WHITE RD",
"address_2": "SUITE 205",
"city": "LITTLE SILVER",
"state": "NJ",
"postal_code": "077391166",
"telephone_number": "732-741-3770",
"fax_number": "732-741-3776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 WHITE RD",
"address_2": "SUITE 205",
"city": "LITTLE SILVER",
"state": "NJ",
"postal_code": "077391166",
"telephone_number": "732-741-3770",
"fax_number": "732-741-3776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVITO",
"first_name": "MARC",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-12",
"last_updated": "2008-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "MA082323",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "MA082323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Little Silver, NJ
- Richard Anthony Deblasi, M.D.
- Deborah C. Rose, D.C., P.C
- Robert Dejonge III, PHARM.D
- Alexa Desantis, PT, DPT
- Devito Internal Medicine and Pediatrics LLC
- Joseph Di Benedetto, D.M.D.
- Diabetes & Thyroid Endocrinology Center PC
- Andrew Joseph Dibenedetto, DMD
- Jacqueline Diez, MS CCC-SLP
- Lyza E Dizon-Roosa, PHARM D
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.