Individual provider Active NPI

Maria Theresa Demealo, M.S. ED

  • Specialist
  • Mahopac, NY
National Provider Identifier
1023379914
Registry record updated Jun 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
76 Cortlandt Rd
Mahopac, NY 10541-3620
Phone
(845) 621-9146
NPI assigned
Jun 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

76 Cortlandt Rd
Mahopac, NY 10541-3620

Mailing address

76 Cortlandt Rd
Mahopac, NY 10541-3620
Phone (845) 621-9146

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338940800000",
    "number": "1023379914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 CORTLANDT RD",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105413620",
            "telephone_number": "845-621-9146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 CORTLANDT RD",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105413620",
            "telephone_number": "845-621-9146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMEALO",
        "first_name": "MARIA",
        "middle_name": "THERESA",
        "name_prefix": "Mrs.",
        "credential": "M.S. ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-06",
        "last_updated": "2012-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mahopac, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.