DR. JOHN EDWARD DEAVER MD NPI 1164485470

NPI Information

  • NPI: 1164485470
  • Provider Name: DR. JOHN EDWARD DEAVER, MD
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1505 W SHERMAN AVE
    VINELAND, NJ
    ZIP 08360
  • Phone: (302) 465-1959

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NPI Details

DR. John Edward Deaver, MD is an obstetrics gynecology in Vineland, NJ. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DR. John Edward Deaver, MD NPI is 1164485470. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1505 W SHERMAN AVE
VINELAND, NJ
ZIP 08360-059
Phone: (302) 465-1959

The NPI 1164485470 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 4/8/2006 and was last updated on 10/6/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyC1-0010768DELAWAREYes
2207V00000XObstetrics & Gynecology2010008638MISSOURINo
3207V00000XObstetrics & Gynecology158011NEW YORKNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1431560263OTHERTRICARE WEST
2P00826737OTHERRAILROAD MEDICARE CB9013
301071732MEDICAIDNEW YORK
41164485470MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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