Individual provider Active NPI

Gregory I Demarco, PT, DPT, ATC

  • Physical Therapist
  • New City, NY
National Provider Identifier
1053744698
Registry record updated Feb 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
036809 Issued in NY
Practice address
19 Sandusky Rd
New City, NY 10956-6916
Phone
(845) 323-1545
NPI assigned
Aug 19, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 036809 NY Primary
Physical Therapist 225100000X QA01535000 NJ

Addresses

Primary practice location

19 Sandusky Rd
New City, NY 10956-6916

Mailing address

19 Sandusky Rd
New City, NY 10956-6916

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140320000398 NJ Practitioner - Physical Therapist in Private Practice 0648406686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Rehab Somerset PAGroup PAC ID 0547540809, 57 clinicians

Practice addresses (Care Compare)

444 Kinderkamack Rd
Emerson, NJ 07630-1134
Phone (800) 518-0977

84 Veronica Ave
Suite And1016
Somerset, NJ 08873-3529
Phone (800) 518-0977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
036809NYMDPharmacist
QA01535000NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Rehab Somerset PA CurrentSince Apr 1, 2021 Accepting new patients
Trinity Rehab Somerset PA CurrentSince Apr 1, 2021 Accepting new patients
Trinity Rehab Somerset PA Physical Therapist Current Accepting new patients

Locations

328 Newman Springs Rd
Ste 10
Red Bank, NJ 07701

175 Route 37 W
#R
Toms River, NJ 08755

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.

NPI Registry JSON

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392076800000",
    "number": "1053744698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 SANDUSKY RD",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109566916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 SANDUSKY RD",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109566916",
            "telephone_number": "845-323-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMARCO",
        "first_name": "GREGORY",
        "middle_name": "I",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-19",
        "last_updated": "2014-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "036809",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA01535000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.