James Peter Demetri, LCSW, DDS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

082201-1 Issued in NY

Practice address

503 E 78TH St Apt 1H
New York, NY 10075-1130

Phone

(845) 702-2162

NPI assigned

Nov 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1043383979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 NATHAN PIERCE CT",
            "city": "PAWLING",
            "state": "NY",
            "postal_code": "125642161",
            "telephone_number": "845-855-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 E 78TH ST APT 1H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751130",
            "telephone_number": "845-702-2162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1283 Route 311 Ste C101",
            "address_purpose": "LOCATION",
            "city": "Patterson",
            "state": "NY",
            "postal_code": "125632830",
            "country_code": "US",
            "telephone_number": "845-702-2162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEMETRI",
        "first_name": "JAMES",
        "middle_name": "PETER",
        "credential": "LCSW, DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "33559",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "082201-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolanda Demery
• Daniel Demesh, M.D.
• Don Demeterio, M.D.
• Demetra Hamakiotes LLC
• Constantine Antony Demetracopoulos, M.D.
• Alina S. Demetria, M.A., CF - SLP
• Anna Maria Demetriades, M.D., PH.D.
• Constantine Demetriadis, LAT, ATC
• Victor Demetrio, DO
• Nicholas Demetriou, ANP

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.