Active NPI
Martin A Desmery, MD
- Specialist
- New Paltz, NY
National Provider Identifier
1003143975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 093164-1
- Practice address
- 1428 Old Ford Rd
New Paltz, NY 12561-2660 - Phone
- (845) 255-7758
- NPI assigned
- Nov 12, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 093164-1 | NY | Primary |
Addresses
Primary practice location
1428 Old Ford Rd
New Paltz, NY 12561-2660
Mailing address
1428 Old Ford Rd
New Paltz, NY 12561-2660
Phone (845) 255-7758
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD93164 | Other | NY | NONE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 093164 | NY | MD | Clinical Social Worker |
| 093164-1 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257984000000",
"number": "1003143975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1428 OLD FORD RD",
"city": "NEW PALTZ",
"state": "NY",
"postal_code": "125612660",
"telephone_number": "845-255-7758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1428 OLD FORD RD",
"city": "NEW PALTZ",
"state": "NY",
"postal_code": "125612660",
"telephone_number": "845-255-7758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESMERY",
"first_name": "MARTIN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-11-12",
"last_updated": "2009-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "093164-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "MD93164",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Paltz, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; 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.