Active NPI
Frederic Dewil, MD
- Pulmonary Disease Physician
- Manahawkin, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- MA59306
- Practice address
- 1301 Route 72 W Ste 300
Manahawkin, NJ 08050-2483 - Phone
- (609) 597-6513
- Fax
- (609) 597-4593
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | MA59306 | NJ | Primary |
Addresses
Primary practice location
1301 Route 72 W Ste 300
Manahawkin, NJ 08050-2483
Mailing address
1301 Route 72 W Ste 300
Manahawkin, NJ 08050-2483
Phone (609) 597-6513
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5556902 | Medicaid | NJ | |
| P00297585 | Other | NJ | RAILROAD MEDICARE |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- State University of New York at Stony Brook, School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1140 Route 72 W
Manahawkin, NJ 08050-2412
Phone (609) 597-6011
1301 Route 72 W
Manahawkin, NJ 08050-2483
1944 Route 33
Neptune, NJ 07753
Phone (732) 776-3787
1945 Route 33
Neptune, NJ 07753
30 Prospect Ave
Hackensack, NJ 07601-1915
3600 Route 66
FL 3
Neptune, NJ 07753
425 Jack Martin Blvd
Brick, NJ 08724-7732
Phone (732) 836-4504
Hospital & facility affiliations
- Southern Ocean Medical Center
- Ocean Medical Center
- JFK University Medical Center
- Jersey Shore University Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.33 of 100
- Quality
- 66.38
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.39
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA59306 | NJ | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Community Pulmonary Associates PA | Pulmonary Disease | Past | Accepting new patients |
| Hackensack Meridian Health Medical Group - Complex Care PC | Past | Accepting new patients |
Locations
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
1301 Route 72 W
Ste 300
Manahawkin, NJ 08050
Phone (609) 597-6513
1944 State Route 33
Neptune, NJ 07753
Phone (732) 776-3787
3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463
1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204
1140 Route 72 W
Stafford Township, NJ 08050
Phone (609) 978-2194
Interoperability endpoints
- frederic.dewil@direct.hackensackmeridian.org
- https://fhir-myrecord.cerner.com/r4/c7797114-dad6-4d8b-8399-0e9448563368/
- https://fhir4.healow.com/fhir/r4/IHJHBD
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
-
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
-
- Pulmonary Disease Physician
- Toms River, NJ
- NPI 1447365754
-
- Internal Medicine Physician
- Red Bank, NJ
- NPI 1154379626
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Edison, NJ
- NPI 1144894577
-
- General Acute Care Hospital
- Brick, NJ
- NPI 1477065126
-
- General Acute Care Hospital
- Neptune, NJ
- NPI 1790297547
-
- General Acute Care Hospital
- Manahawkin, NJ
- NPI 1831601590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346198400000",
"number": "1790711810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 ROUTE 72 W STE 300",
"city": "MANAHAWKIN",
"state": "NJ",
"postal_code": "080502483",
"telephone_number": "609-597-6513",
"fax_number": "609-597-4593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 ROUTE 72 W STE 300",
"city": "MANAHAWKIN",
"state": "NJ",
"postal_code": "080502483",
"telephone_number": "609-597-6513",
"fax_number": "609-597-4593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEWIL",
"first_name": "FREDERIC",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2012-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NJ",
"license": "MA59306",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5556902",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00297585",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manahawkin, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.