Active NPI
Joseph J Devenuto . Jr., M.D.
- Ophthalmology Physician
- Fairless Hills, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD009403E
- Practice address
- 329 Lincoln Hwy
Fairless Hills, PA 19030-1201 - Phone
- (215) 945-0200
- Fax
- (215) 945-2424
- NPI assigned
- Jul 12, 2006
- Last updated
- Mar 27, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD009403E | PA | Primary |
| Ophthalmology Physician | 207W00000X | 25MA03164800 | NJ |
Addresses
Primary practice location
329 Lincoln Hwy
Fairless Hills, PA 19030-1201
Mailing address
485 N Main St
Doylestown, PA 18901-3403
Phone (215) 345-6100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA03164800 | NJ | MD | Ophthalmology Physician |
| MD009403E | PA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Campus Eye Group ASC, LLC | Current | Accepting new patients | |
| Total Eye Care Centers, PC | Current | Accepting new patients | |
| Campus Eye Group, LLC | Current | Accepting new patients | |
| Campus Eye Group, LLC | Ophthalmology | Current | Accepting new patients |
| Total Eye Care Centers PC | Ophthalmology | Current | Accepting new patients |
Locations
2095 Klockner Rd
Hamilton Square, NJ 08690
Phone (609) 890-7621
2495 US Highway 1
Ste 8
Lawrenceville, NJ 08648
Phone (609) 882-2888
1700 Whitehorse Hamilton Square Rd
Trenton, NJ 08690
Phone (609) 890-2600
1700 Whitehorse Hamilton Square Rd
Ste A1
Trenton, NJ 08690
Phone (215) 781-2020
485 N Main St
Doylestown, PA 18901
Phone (215) 345-6100
329 Lincoln Hwy
Fairless Hls, PA 19030
Phone (215) 945-0200
1568 Woodbourne Rd
Levittown, PA 19057
Phone (215) 943-7800
Organizations & group practices 5
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.
-
- Ophthalmologic Surgery Clinic/Center
- Hamilton SQ, NJ
- NPI 1134101256
-
- Optometrist
- Hamilton Square, NJ
- NPI 1447232913
-
dba Anesthesia Associates
- Optometrist
- Hamilton Square, NJ
- NPI 1891432878
Ophthalmology
-
- Eyewear Supplier
- Robbinsville, NJ
- NPI 1174339907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206576000000",
"number": "1760417125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "485 N MAIN ST",
"city": "DOYLESTOWN",
"state": "PA",
"postal_code": "189013403",
"telephone_number": "215-345-6100",
"fax_number": "215-345-4151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "329 LINCOLN HWY",
"city": "FAIRLESS HILLS",
"state": "PA",
"postal_code": "190301201",
"telephone_number": "215-945-0200",
"fax_number": "215-945-2424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVENUTO .",
"first_name": "JOSEPH",
"middle_name": "J",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2008-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "PA",
"license": "MD009403E",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NJ",
"license": "25MA03164800",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairless Hills, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.