John Devine, NURSE PRACTITIONER
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Ocean City, NJ
NPI 1487177366 · NPPES record last updated Jun 26, 2025
Key facts
- NPI
- 1487177366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 26NJ01294100 (NJ)
- Practice address
- 801 Asbury Ave Ste 300
Ocean City, NJ 08226-3641 - Phone
- (267) 902-5509
- NPI assigned
- Jul 21, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1845 Walnut St
Philadelphia, PA 19103-4736
Phone (215) 850-4538
801 Asbury Ave
Suite 300
Ocean City, NJ 08226-3641
Phone (215) 850-4538
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA, NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180125000443 | PA | Practitioner - Nurse Practitioner | 0244599959 | Reassigns benefits to 2 organizations |
| I20220728000555 | NJ | Practitioner - Nurse Practitioner | 0244599959 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP017626 | PA | MD | Adult Health Nurse Practitioner |
| 26NJ01294100 | NJ | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brightway Healthcare LLC | Psychiatric/Mental Health | Current |
Accepting new patients |
| Vista Medical Services, Inc. | Current |
Accepting new patients | |
| New Age Behavioral PC | Psychiatric/Mental Health | Current |
Accepting new patients |
Locations
801 Asbury Ave
Unit 305
Ocean City, NJ 08226
801 Asbury Ave
Ste 300
Ocean City, NJ 08226
Phone (215) 850-4538
160 Rock Hill Rd
Bala Cynwyd, PA 19004
Phone (610) 667-6080
160 Rock Hill Rd
Fl 1
Bala Cynwyd, PA 19004
Phone (610) 667-5460
1845 Walnut St
Ste 1540
Philadelphia, PA 19103
Phone (215) 850-4538
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SP017626 | PA | |
| Adult Health Nurse Practitioner | 363LA2200X | SP017626 | PA | |
| Gerontology Nurse Practitioner | 363LG0600X | SP017626 | PA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | SP017626 | PA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 26NJ01294100 | NJ | Yes |
Addresses
Primary practice location
801 Asbury Ave Ste 300
Ocean City, NJ 08226-3641
Mailing address
801 Asbury Ave Ste 300
Ocean City, NJ 08226-3641
Phone (215) 850-4538
Other practice location 1
1050 Fort Palmer Rd
Bolivar, PA 15923-2516
Phone (215) 850-4538
Other providers in Ocean City, NJ
- Counseling by the Sea, LLC
- Christine Delorenzo
- Kathleen Patricia Denesha
- Jennifer Deuel
- Christopher Thomas Devaney Sr.
- Sarah Dewair
- Dial a Doctor
- Ericka S Dice
- Angela Marcia Difabio
- Christy Dilullo
All providers in Ocean City, NJ · Psychiatric/Mental Health Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.