Active NPI
Rachel Anne Demaio, FNP
- Family Nurse Practitioner
- Smithtown, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 343157
- Practice address
- 994 W Jericho Tpke
Smithtown, NY 11787-3235 - Phone
- (631) 265-4200
- NPI assigned
- Jun 22, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 343157 | NY | Primary |
Addresses
Primary practice location
994 W Jericho Tpke
Smithtown, NY 11787-3235
Mailing address
40 Mayflower LN
East Setauket, NY 11733-3321
Phone (631) 848-4646
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190604000813 | NY | Practitioner - Nurse Practitioner | 0244563492 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Preferred Professional Medical Care PC
Practice addresses (Care Compare)
3505 Veterans Memorial Hwy
Suite C
Ronkonkoma, NY 11779-7613
Phone (631) 676-7656
Hospital & facility affiliations
- St Catherine of Siena Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Medicine & Rehabilitation of Long Island | Current | Accepting new patients | |
| Preferred Professional Medical Care PC | Current | Accepting new patients | |
| Home Medical Services PLLC | Current | Accepting new patients |
Locations
234 Orinoco Dr
Brightwaters, NY 11718
Phone (631) 300-0079
3505 Veterans Memorial Hwy
Ste C
Ronkonkoma, NY 11779
Phone (631) 676-7556
Organizations & group practices 3
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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Brightwaters, NY
- NPI 1003293366
NY
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Smithtown, NY
- NPI 1982663423
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541462400000",
"number": "1013402932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 MAYFLOWER LN",
"city": "EAST SETAUKET",
"state": "NY",
"postal_code": "117333321",
"telephone_number": "631-848-4646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "994 W JERICHO TPKE",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117873235",
"telephone_number": "631-265-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMAIO",
"first_name": "RACHEL",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-22",
"last_updated": "2018-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "343157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.