Individual provider Active NPI

Richard Anthony Deblasi, M.D.

  • Psychiatry Physician
  • Little Silver, NJ
National Provider Identifier
1538353255
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G88398 Issued in CA
Practice address
640 Seven Bridges Rd
Little Silver, NJ 07739
Phone
(732) 996-2592
NPI assigned
Sep 6, 2007
Last updated
Jun 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25MA02628300 NJ
Psychiatry Physician 2084P0800X 1659318145 VA
Psychiatry Physician 2084P0800X G88398 CA Primary

Addresses

Primary practice location

640 Seven Bridges Rd
Little Silver, NJ 07739

Mailing address

640 Seven Bridges Rd
Little Silver, NJ 07739-1745
Phone (732) 996-2592

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, DC, VA, CA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20040707001180 NJ Practitioner - PsychiatryPractitioner - Addiction Medicine 2961480959 Reassigns benefits to 2 organizations
I20151005002420 DC Practitioner - Psychiatry 2961480959 Reassigns benefits to 1 organization
I20151110000997 VA Practitioner - Psychiatry 2961480959 Reassigns benefits to 1 organization
I20190206002452 CA Practitioner - Psychiatry 2961480959 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA02628300NJMDSpecialist
G88398CAMDPsychiatry Physician
1659318145VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Middlesex CurrentSince Jul 1, 2019 Accepting new patients
County of San Diego Single Specialty Current Accepting new patients
County of San Diego CurrentSince Jan 7, 2019 Accepting new patients
CPC Integrated Health, Inc. Single Specialty CurrentSince Aug 5, 2019 Accepting new patients
County of San Diego Single Specialty CurrentSince Jan 7, 2019 Accepting new patients
County of Middlesex Single Specialty CurrentSince Jul 1, 2019 Accepting new patients
CPC Behavioral Healthcare, Inc Single Specialty CurrentSince Aug 5, 2019 Accepting new patients
Inova Health Care Services Single Specialty CurrentSince Aug 19, 2015 Accepting new patients

Locations

1000 Broadway
Ste 210
El Cajon, CA 92021
Phone (619) 401-5500

1250 Morena Blvd
San Diego, CA 92110
Phone (619) 692-8715

3177 Ocean View Blvd
San Diego, CA 92113
Phone (619) 231-9300

3853 Rosecrans St
San Diego, CA 92110
Phone (619) 615-0439

10 Industrial Way E
Eatontown, NJ 07724
Phone (732) 935-2220

22 Court St
Freehold, NJ 07728
Phone (732) 780-7387

570 Lee St
Perth Amboy, NJ 08861
Phone (732) 442-1666

8505 Arlington Blvd
Ste 200
Fairfax, VA 22031
Phone (703) 698-8525

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

Organizations & group practices 8

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": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1538353255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 SEVEN BRIDGES RD",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391745",
            "telephone_number": "732-996-2592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 SEVEN BRIDGES RD",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "07739",
            "telephone_number": "732-996-2592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBLASI",
        "first_name": "RICHARD",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-06",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA02628300",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "1659318145",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G88398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Silver, NJ

Sources for this page

Verify at the official NPI Registry.