Devwellness Care LLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

25MA08277400 Issued in NJ

Legal business name

DEVWELLNESS CARE LLC

Practice address

952 Main St
Hackensack, NJ 07601-5171

Phone

(856) 534-5307

Fax

(888) 850-5930

NPI assigned

Apr 19, 2018

Organization subpart

No

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

Authorized official

Name

Melissa Burnett

Title

Billing Manager

Phone

(856) 534-5307

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611878400000",
    "number": "1720575210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "952 MAIN ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015171",
            "telephone_number": "856-534-5307",
            "fax_number": "888-850-5930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "952 MAIN ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015171",
            "telephone_number": "856-534-5307",
            "fax_number": "888-850-5930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVWELLNESS CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-19",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A",
        "authorized_official_last_name": "BURNETT",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "856-534-5307"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NJ",
            "license": "25MA08277400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Destefano, NP
• Phillip Sunil Devadan, M.D.
• Megan Devlin, NP
• Devon'S Promise Inc
• Shoshana Malka Devor, MD
• Shilpa Santosh Dewoolkar, OTRL CHT
• Seema P. Dhorajia, D.O
• James Carlo Di Palma-Grisi, MD
• Emil Di Perna, RP
• Diagnostic Pathology Laboratories, PA

• Pain Medicine Physician in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Pain Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.