Individual provider Active NPI

Gregory Frederick Dimesa, DO

  • Family Medicine Physician
  • Basking Ridge, NJ
National Provider Identifier
1568994275
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB10787400 Issued in NJ
Practice address
18 Lyons Rd.
Lyons Mall Suite 101
Basking Ridge, NJ 07920
Phone
(908) 373-2688
NPI assigned
Mar 31, 2017
Last updated
Aug 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB10787400 NJ Primary

Addresses

Primary practice location

18 Lyons Rd.
Lyons Mall Suite 101
Basking Ridge, NJ 07920

Mailing address

PO Box 416457
Boston, MA 02241-6457

Other practice location 1

1973 Washington Valley Rd
Martinsville, NJ 08836-2053
Phone (732) 560-9225

Other practice location 2

7575 Route 28
Building 3 Suite 3201
Raritan, NJ 08869
Phone (908) 947-2712

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
I20200810000234 NJ Practitioner - Family Practice 6204251127 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians
H2 Rehabilitation Extension Services LLCGroup PAC ID 6406131622, shared by 5 NPIs, 161 clinicians

Practice addresses (Care Compare)

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5596

137 Montgomery Ave
Suite 205
Boyertown, PA 19512-1300
Phone (484) 658-3150

435 S St
Suite 390
Morristown, NJ 07960-6477
Phone (973) 290-7046

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB10787400NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medemerge P.a. Family Medicine Current Accepting new patients
Medemerge LLC CurrentSince Jul 1, 2020 Accepting new patients
Practice Associates Medical Group Family Medicine CurrentSince Sep 3, 2024 Accepting new patients

Locations

18 Lyons Mall
Ste 101
Basking Ridge, NJ 07920
Phone (908) 373-2688

1005 N Washington Ave
Green Brook, NJ 08812
Phone (732) 968-8900

1973 Washington Valley Rd
Martinsville, NJ 08836
Phone (732) 560-9225

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

465 South St
Ste 103
Morristown, NJ 07960
Phone (973) 971-7130

Interoperability endpoints

  • Direct secure messaging: gdimesa59107@epicdirect.rwjbh.org
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1039

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1568994275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416457",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 LYONS RD.",
            "address_2": "LYONS MALL SUITE 101",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "07920",
            "telephone_number": "908-373-2688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1973 Washington Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Martinsville",
            "state": "NJ",
            "postal_code": "088362053",
            "country_code": "US",
            "telephone_number": "732-560-9225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7575 Route 28",
            "address_2": "Building 3 Suite 3201",
            "address_purpose": "LOCATION",
            "city": "Raritan",
            "state": "NJ",
            "postal_code": "08869",
            "country_code": "US",
            "telephone_number": "908-947-2712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIMESA",
        "first_name": "GREGORY",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-31",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB10787400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Basking Ridge, NJ

Sources for this page

Verify at the official NPI Registry.