Individual provider Active NPI

Joseph J Devenuto . Jr., M.D.

  • Ophthalmology Physician
  • Fairless Hills, PA
National Provider Identifier
1760417125
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD009403E Issued in PA
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, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040526001483 NJ Practitioner - Ophthalmology 5991786808 Reassigns benefits to 1 organization
I20080325000005 PA Practitioner - Ophthalmology 5991786808 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA03164800NJMDOphthalmology Physician
MD009403EPAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Campus Eye Group ASC, LLC Current Accepting new patients
Total Eye Care Centers, PC CurrentSince Mar 22, 2023 Accepting new patients
Campus Eye Group, LLC CurrentSince Jul 27, 2012 Accepting new patients
Campus Eye Group, LLC Ophthalmology CurrentSince Jul 27, 2012 Accepting new patients
Total Eye Care Centers PC Ophthalmology CurrentSince Mar 22, 2023 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.

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

Verify at the official NPI Registry.