Cindy Demetriou

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

307385 Issued in NY

Practice address

356 Veterans Memorial Hwy
Suite 5
Commack, NY 11725-4343

Phone

(631) 858-0400

NPI assigned

Jul 1, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

State University of New York at Stony Brook, School of Medicine, 2015

Medicare assignment

May accept Medicare assignment

Group practices

Long Island Chiropractic, Physical Therapy and Nurse Practitioner in aGroup PAC ID 1658851985, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Long Island Chiropractic, Physical Therapy & Nurse Practitioner in Adult Health of Smithtown, PLLC

  • Rehabilitation Chiropractor
  • Smithtown, NY
  • NPI 1013720713
  Medicare reassignment Care Compare group NPD
• Mark Tieman, MD, PC

  • Primary Care Clinic/Center
  • Commack, NY
  • NPI 1821375940
  Medicare reassignment NPD

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437868800000",
    "number": "1033592589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 VETERANS MEMORIAL HWY",
            "address_2": "SUITE 5",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254343",
            "telephone_number": "631-858-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 VETERANS MEMORIAL HWY",
            "address_2": "SUITE 5",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254343",
            "telephone_number": "631-858-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMETRIOU",
        "first_name": "CINDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-01",
        "last_updated": "2015-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "307385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deleterious Butler and Associates Care Health Consulting LLC
• Gerylyn Demarino, MA SPECIAL EDUCATION
• Denise Marie Demattia, LMHC
• Demeetrious Butler and Associates Care Health Consulting LLC
• Karin Plett Demeo, MA, CCC.SLP
• Megan Lynn Dempsey, MSSPED
• Kristen Demundo, PHARM D
• Danielle Denenberg, LMHC
• Jennifer Marie Dennehy, APN
• Elyse Denorfia, LCSW

• Adult Health Nurse Practitioner in Commack, NY
• Providers in Commack, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2015; 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.

Verify at the official NPI Registry.