MR. JOSEPH JOHN III DOVIDIO (NP) – Acute Care Nurse Practitioner, NPI 1962046110

MR. JOSEPH JOHN III DOVIDIO (NP) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. SP020980 (PA). The NPI Number for MR. JOSEPH JOHN III DOVIDIO (NP) is 1962046110

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
MR. JOSEPH JOHN III DOVIDIO (NP)
NPI
1962046110
Phone
(215) 955-1120
Address
111 S 11TH ST STE G8490
Enumeration Date
31 October 2019
Last Update Date
28 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3104233277
Graduation Year
2019 (7 years ago)
PAC ID
0840624110
Group Practice PAC ID
0446169114
Professional Enrollment ID
I20230828002264
Address ID
CA900481804WE8700XBLVD300

Contacts

Secure Messaging
jdovidio221161@directvirtua.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness95
Years active:6State licenses:3Other names

11,473 NURSE PRACTITIONER in PA

Provider Addresses for MR. JOSEPH JOHN III DOVIDIO (NP)

  • 111 S 11TH ST STE G8490

    PHILADELPHIA, PA 191074824

    Phone: (215) 955-1120

    Type: Mailing

  • 111 S 11TH ST

    PHILADELPHIA, PA 191074824

    Phone: (267) 582-8960

    Type: Location

  • 301 LIPPINCOTT DR STE 410

    MARLTON, NJ 080534197

    Phone: (856) 355-0340

    Fax: (856) 355-0330

    Type: Mailing

  • 1600 HADDON AVE

    CAMDEN, NJ 081033101

    Phone: (856) 668-8818

    Fax: (856) 668-8490

    Type: Location

  • 4140 W 190TH ST

    TORRANCE, CA 905045513

    Phone: (310) 423-3851

    Fax: (310) 423-0246

    Type: Mailing

  • 127 S SAN VICENTE BLVD

    LOS ANGELES, CA 900483311

    Phone: (310) 423-3851

    Fax: (310) 423-0246

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191218003035INurse PractitionerPATBD
I20230828002264INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99292Critical care, each additional 30 minutes3313$0
99291Critical care, first 30-74 minutes3020$0
View full utilization report →

Insurance plans in this area (ZIP 19107)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446169114View full group profile
NameSpecialtyState
Critical Care (Intensivists), General SurgeryCA
-WA
Nurse PractitionerCA
Physician AssistantCA
Clinical PsychologistCA
Nurse PractitionerCA
N E U R O S U R G E R YOH
Nurse PractitionerCA
General Surgery, Critical Care (Intensivists)CA
Internal MedicineCA

Reviews

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Frequently asked questions

What unique ID ties claims to MR. JOSEPH JOHN III DOVIDIO (NP)?
NPI 1962046110 is assigned to MR. JOSEPH JOHN III DOVIDIO (NP) under the national enumeration system.
Is MR. JOSEPH JOHN III DOVIDIO (NP) active in the national directory?
MR. JOSEPH JOHN III DOVIDIO (NP)'s public NPI profile is in an active state.
Can you summarize MR. JOSEPH JOHN III DOVIDIO (NP)'s specialty in plain language?
Clinically, the directory lists MR. JOSEPH JOHN III DOVIDIO (NP) with Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for MR. JOSEPH JOHN III DOVIDIO (NP)?
We surface Philadelphia, Pennsylvania for MR. JOSEPH JOHN III DOVIDIO (NP) based on available NPPES addresses.
How can I contact MR. JOSEPH JOHN III DOVIDIO (NP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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