NPIMap

Individual provider Active NPI

Xelenia Depena, M.D.

  • Family Medicine Physician
  • Dumont, NJ
National Provider Identifier
1750778973
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA11195800 Issued in NJ
Practice address
40 Washington Ave Ste A5
Dumont, NJ 07628-3636
Phone
(201) 387-7705
Fax
(201) 387-8605
NPI assigned
Apr 26, 2015
Last updated
Jan 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 295052 NY
Family Medicine Physician 207Q00000X 25MA11195800 NJ Primary

Addresses

Primary practice location

40 Washington Ave Ste A5
Dumont, NJ 07628-3636

Mailing address

40 Washington Ave Ste A5
Dumont, NJ 07628-3636
Phone (201) 387-7705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180822002928 NY Practitioner - Family Practice 8123326170 Reassigns benefits to 2 organizations
I20211215001586 NJ Practitioner - Family Practice 8123326170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Physician Services PCGroup PAC ID 3577857333, 593 clinicians

Practice addresses (Care Compare)

108 Jackson St
Apt 6B
Hoboken, NJ 07030-6101
Phone (800) 825-5391

223 N Van Dien Ave
Ridgewood, NJ 07450-2726
Phone (201) 447-8000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advantagecare Physicians PC Family Medicine CurrentSince Aug 15, 2018 Accepting new patients
Advantagecare Physicians PC CurrentSince Aug 15, 2018 Accepting new patients
Valley Physician Services PC CurrentSince Dec 1, 2021 Accepting new patients
DN Medical Services, PLLC CurrentSince Jul 1, 2022 Accepting new patients
Valley Health Medical Group, NJ-PC Family Medicine Past Accepting new patients

Locations

223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417

538 E Fordham Rd
Bronx, NY 10458
Phone (347) 590-0660

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

4337 Broadway
New York, NY 10033
Phone (212) 523-5201

55 Water St
Fl 2
New York, NY 10041

Interoperability endpoints

  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4
  • Direct secure messaging: xelenia.depena.1@5622.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1430006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1750778973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 WASHINGTON AVE STE A5",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "076283636",
            "telephone_number": "201-387-7705",
            "fax_number": "201-387-8605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 WASHINGTON AVE STE A5",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "076283636",
            "telephone_number": "201-387-7705",
            "fax_number": "201-387-8605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPENA",
        "first_name": "XELENIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-26",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "295052",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA11195800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dumont, NJ

Sources for this page

Verify at the official NPI Registry.