Active NPI
Divya Periasamy, MD
- Psychiatry Physician
- Brick, NJ
National Provider Identifier
1437779048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 25MA1205400
- Practice address
- 1610 Route 88 FL 3
Brick, NJ 08724-3018 - Phone
- (732) 295-6543
- Fax
- (732) 295-6204
- NPI assigned
- Apr 23, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 25MA1205400 | NJ | Primary |
Addresses
Primary practice location
1610 Route 88 FL 3
Brick, NJ 08724-3018
Mailing address
1 Brookdale PLZ
Brooklyn, NY 11212-3139
Other practice location 1
1 Brookdale Plz
Brooklyn, NY 11212-3139
Phone (718) 240-5600
Other practice location 2
19 Davis Ave Fl 9
Neptune, NJ 07753-4488
Phone (732) 897-3640
Other practice location 3
27 S Cooks Bridge Rd Ste 2-7
Jackson, NJ 08527-2463
Phone (732) 295-6543
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1610 Route 88
FL 3
Brick, NJ 08724-3018
Phone (732) 295-6543
Hospital & facility affiliations
- Riverview Medical Center
- Jersey Shore University Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA1205400 | NJ | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Specialty Care PC | Single Specialty | Current | Accepting new patients |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Single Specialty | Current | Accepting new patients |
Locations
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
1944 State Route 33
Neptune, NJ 07753
Phone (732) 776-3787
19 Davis Ave
Fl 9
Neptune, NJ 07753
Phone (732) 897-3640
331 Newman Springs Rd
Ste 220
Red Bank, NJ 07701
Phone (732) 807-0514
1610 State Route 88
Fl 3
Wall Township, NJ 08724
Phone (732) 295-6543
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IHJHBD
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.
-
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
Single Specialty
-
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
Single Specialty
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Red Bank, NJ
- NPI 1710499462
-
- General Acute Care Hospital
- Neptune, NJ
- NPI 1790297547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754006400000",
"number": "1437779048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BROOKDALE PLZ",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112123139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1610 ROUTE 88 FL 3",
"city": "BRICK",
"state": "NJ",
"postal_code": "087243018",
"telephone_number": "732-295-6543",
"fax_number": "732-295-6204"
}
],
"practiceLocations": [
{
"address_1": "1 Brookdale Plz",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112123139",
"country_code": "US",
"telephone_number": "718-240-5600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "19 Davis Ave Fl 9",
"address_purpose": "LOCATION",
"city": "Neptune",
"state": "NJ",
"postal_code": "077534488",
"country_code": "US",
"telephone_number": "732-897-3640",
"fax_number": "732-897-3639",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "27 S Cooks Bridge Rd Ste 2-7",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "NJ",
"postal_code": "085272463",
"country_code": "US",
"telephone_number": "732-295-6543",
"fax_number": "732-295-6204",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERIASAMY",
"first_name": "DIVYA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-23",
"last_updated": "2025-08-01",
"certification_date": "2025-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "25MA1205400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.