D Koby Inc

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

D KOBY INC

Practice address

620 Lacey Rd Ste 5
Forked River, NJ 08731-2244

Phone

(908) 405-2117

NPI assigned

Sep 24, 2021

Last updated

Apr 14, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Donna Marie Koby, APN-CNPI 1639722242

Title

Owner

Phone

(908) 405-2117

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 2

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.

• Donna M Koby

  • Psychiatric/Mental Health Nurse Practitioner
  • Toms River, NJ
  • NPI 1639722242
  Medicare reassignment NPD Authorized official
• Theresa Ann Millerschoen, RN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
  • NPI 1558958272
  NPD (past)

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

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649894400000",
    "number": "1396416715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 LACEY RD STE 5",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087312244",
            "telephone_number": "908-405-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 LACEY RD STE 5",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087312244",
            "telephone_number": "908-405-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D KOBY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-24",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A",
        "authorized_official_last_name": "KOBY",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-405-2117",
        "authorized_official_credential": "APN-C"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Stephen T D'Angelo, D.O.
• Sarah E Dapiran
• Emilie Davies
• Theodore George Dec Jr.
• Kelly Dechert

• Adult Mental Health Clinic/Center in Forked River, NJ
• Providers in Forked River, NJ by specialty
• Adult Mental Health Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; 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.