Individual provider Active NPI

Meena Devalla, MD

  • Specialist
  • Belleville, NJ
National Provider Identifier
1497765358
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA07125600 Issued in NJ
Practice address
14 Franklin St
2ND Floor
Belleville, NJ 07109-1134
Phone
(973) 680-1145
NPI assigned
Aug 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MA07125600 NJ
Specialist 174400000X 25MA07125600 NJ Primary

Addresses

Primary practice location

14 Franklin St
2ND Floor
Belleville, NJ 07109-1134

Mailing address

14 Franklin St
2ND Floor
Belleville, NJ 07109-1134
Phone (973) 680-1145

Other identifiers 1

IdentifierTypeStateIssuer
8498504MedicaidNJ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071211000090 NJ Practitioner - Obstetrics/Gynecology 0446349187 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Special Care OB/GYN Associates IncGroup PAC ID 0840389250, 2 clinicians

Practice addresses (Care Compare)

350 Bloomfield Ave
Bloomfield, NJ 07003-4897
Phone (973) 680-8875

465 Mount Prospect Ave
Newark, NJ 07104-2907
Phone (973) 482-6070

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07125600NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group PC CurrentSince Oct 28, 2023 Accepting new patients
Barnabas Health Medical Group PC Specialist CurrentSince Oct 28, 2023 Accepting new patients
OB Hospitalist Services New Jersey, PA Obstetrics & Gynecology CurrentSince Jun 30, 2024 Accepting new patients
Special Care OB/GYN Associates Inc Obstetrics & Gynecology CurrentSince Mar 1, 2007 Accepting new patients
Cardiac Arrhythmia Specialist PC Past Accepting new patients
Clara Maass Medical Center Past Accepting new patients

Locations

1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008

14 Franklin St
#C
Belleville, NJ 07109
Phone (973) 759-4802

14 Franklin St
Ste 2
Belleville, NJ 07109
Phone (973) 568-0283

350 Bloomfield Ave
Bloomfield, NJ 07003
Phone (973) 680-8875

524 Clifton Ave
Fl 2
Clifton, NJ 07011
Phone (973) 340-9400

355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

465 Mount Prospect Ave
Newark, NJ 07104
Phone (973) 483-3640

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIDGAD

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1497765358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 FRANKLIN ST",
            "address_2": "2ND FLOOR",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071091134",
            "telephone_number": "973-680-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 FRANKLIN ST",
            "address_2": "2ND FLOOR",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071091134",
            "telephone_number": "973-680-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVALLA",
        "first_name": "MEENA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA07125600",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA07125600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8498504",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, NJ

Sources for this page

Verify at the official NPI Registry.