NPIMap

Individual provider Active NPI

John Anthony Depalma, DO

  • Nephrology Physician
  • Brick, NJ
National Provider Identifier
1407054471
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
25MB089286 Issued in NJ
Practice address
1617 Route 88 W
Suite 101
Brick, NJ 08724-3010
Phone
(732) 458-1903
Fax
(732) 458-1906
NPI assigned
Jul 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 25MB089286 NJ Primary

Addresses

Primary practice location

1617 Route 88 W
Suite 101
Brick, NJ 08724-3010

Mailing address

1617 Route 88 W
Suite 101
Brick, NJ 08724-3010
Phone (732) 458-1903

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
I20110902000193 NJ Practitioner - NephrologyPractitioner - Internal Medicine 9234309063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney Care Centers 23 clinicians

Practice addresses (Care Compare)

1617 Route 88 W
Suite 101
Brick, NJ 08724-3010
Phone (732) 460-1200

Hospital & facility affiliations

  • DaVita Ocean County Dialysis Dialysis facility, Toms River, NJ, CCN 312661
  • FKC Brick Boulevard Dialysis facility, Brick, NJ, CCN 312563
  • DaVita Matawan Dialysis Dialysis facility, Matawan, NJ, CCN 312649
  • DaVita Belmar Dialysis Dialysis facility, Wall, NJ, CCN 312500
  • DaVita Holmdel Dialysis Dialysis facility, Hazlet, NJ, CCN 312510
  • Hackensack Meridian at Home Ocean County Home health agency, Brick, NJ, CCN 317075
  • Riverview Medical Center Hospital, Red Bank, NJ, CCN 310034
  • Ocean Medical Center Hospital, Brick, NJ, CCN 310052
  • Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073
  • Community Medical Center Hospital, Toms River, NJ, CCN 310041
  • Bayshore Medical Center Hospital, Holmdel, NJ, CCN 310112

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB089286NJMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Care Centers Nephrology CurrentSince Feb 1, 2024 Accepting new patients
Shore Renal Care Nephrology CurrentSince Aug 1, 2013 Accepting new patients

Locations

1617 Route 88 W
Ste 101
Brick, NJ 08724
Phone (732) 458-1903

6 Industrial Way W
Ste B
Eatontown, NJ 07724
Phone (732) 460-1414

1 Bethany Rd
Ste 91
Hazlet, NJ 07730
Phone (732) 847-3662

280 Highway 35
Ste 301
Red Bank, NJ 07701
Phone (732) 741-1032

1031 McBride Ave
Ste D209
Woodland Park, NJ 07424
Phone (973) 222-8387

Interoperability endpoints

  • Direct secure messaging: jdepalma40631@direct.davitaphysiciansolutions.com

Organizations & group practices 2

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": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1407054471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 ROUTE 88 W",
            "address_2": "SUITE 101",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243010",
            "telephone_number": "732-458-1903",
            "fax_number": "732-458-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 ROUTE 88 W",
            "address_2": "SUITE 101",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243010",
            "telephone_number": "732-458-1903",
            "fax_number": "732-458-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPALMA",
        "first_name": "JOHN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MB089286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.