Individual provider Active NPI

John Devine, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Ocean City, NJ
National Provider Identifier
1487177366
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ01294100 Issued in NJ
Practice address
801 Asbury Ave Ste 300
Ocean City, NJ 08226-3641
Phone
(267) 902-5509
NPI assigned
Jul 21, 2017
Last updated
Jun 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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 Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180125000443 PA Practitioner - Nurse Practitioner 0244599959 Reassigns benefits to 2 organizations
I20220728000555 NJ Practitioner - Nurse Practitioner 0244599959 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP017626PAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brightway Healthcare LLC Psychiatric/Mental Health CurrentSince Jun 7, 2023 Accepting new patients
Vista Medical Services, Inc. CurrentSince Jan 1, 2018 Accepting new patients
New Age Behavioral PC Psychiatric/Mental Health CurrentSince Jul 21, 2022 Accepting new patients

Locations

801 Asbury Ave
Ste 300
Ocean City, NJ 08226
Phone (215) 850-4538

801 Asbury Ave
Unit 305
Ocean City, NJ 08226

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

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1487177366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 ASBURY AVE STE 300",
            "city": "OCEAN CITY",
            "state": "NJ",
            "postal_code": "082263641",
            "telephone_number": "215-850-4538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 ASBURY AVE STE 300",
            "city": "OCEAN CITY",
            "state": "NJ",
            "postal_code": "082263641",
            "telephone_number": "267-902-5509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 Fort Palmer Rd",
            "address_purpose": "LOCATION",
            "city": "Bolivar",
            "state": "PA",
            "postal_code": "159232516",
            "country_code": "US",
            "telephone_number": "215-850-4538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVINE",
        "first_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-21",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP017626",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP017626",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP017626",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP017626",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01294100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean City, NJ

Sources for this page

Verify at the official NPI Registry.