Individual provider Active NPI

Devin Kathleen Bove, FNP

  • Family Nurse Practitioner
  • Toms River, NJ
National Provider Identifier
1679331185
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ15023800 Issued in NJ
Practice address
1178 Rte 37 W
Toms River, NJ 08755-4920
Phone
(609) 926-8899
Fax
(732) 831-4473
NPI assigned
Mar 8, 2024
Last updated
Sep 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ15023800 NJ Primary

Addresses

Primary practice location

1178 Rte 37 W
Toms River, NJ 08755-4920

Mailing address

141 Highland Ave
Highlands, NJ 07732-1829
Phone (732) 272-4623

Other practice location 1

141 Highland Ave
Highlands, NJ 07732-1829
Phone (732) 272-4623

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241028001557 NJ Practitioner - Nurse Practitioner 5799218848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coyle S Connolly DO PAGroup PAC ID 2961498118, 32 clinicians

Practice addresses (Care Compare)

1178 Route 37 W
Toms River, NJ 08755-4920
Phone 60992688991199

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ15023800NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coyle S Connolly DO PA CurrentSince Oct 11, 2024 Accepting new patients

Locations

2099 New Albany Rd
Cinnaminson, NJ 08077
Phone (856) 829-5545

2106 New Rd
Ste D4
Linwood, NJ 08221
Phone (609) 926-6474

1178 Route 37 W
Toms River, NJ 08755
Phone (732) 240-5677

108 Lacey Rd
Ste 38A
Whiting, NJ 08759

Interoperability endpoints

  • Direct secure messaging: dbove@connollydermatology.emadirect.md

Organizations & group practices 1

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": "1709856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1679331185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 HIGHLAND AVE",
            "city": "HIGHLANDS",
            "state": "NJ",
            "postal_code": "077321829",
            "telephone_number": "732-272-4623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1178 RTE 37 W",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087554920",
            "telephone_number": "609-926-8899",
            "fax_number": "732-831-4473"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Highlands",
            "state": "NJ",
            "postal_code": "077321829",
            "country_code": "US",
            "telephone_number": "732-272-4623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOVE",
        "first_name": "DEVIN",
        "middle_name": "KATHLEEN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15023800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.