Active NPI
David Michael Deramo, M.D.
- Sports Medicine (Orthopaedic Surgery) Physician
- West New York, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 25MA08226000
- Practice address
- 5300 Bergenline Ave Ste 302
West New York, NJ 07093-5616 - Phone
- (201) 510-9999
- Fax
- (201) 252-0058
- NPI assigned
- Jan 10, 2007
- Last updated
- Aug 21, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 25MA08226000 | NJ | Primary |
Addresses
Primary practice location
5300 Bergenline Ave Ste 302
West New York, NJ 07093-5616
Mailing address
5300 Bergenline Ave Ste 302
West New York, NJ 07093-5616
Phone (201) 510-9999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Rutgers New Jersey Medical School, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5300 Bergenline Ave
Suite 302
West New York, NJ 07093-5616
Phone (201) 430-8266
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deramo Medical LLC | Sports Medicine | Current | Accepting new patients |
| Englewood Knee & Sports Medicine PC | Sports Medicine | Current | Accepting new patients |
| Englewood Knee & Sports Medicine, P.C. | Current | Accepting new patients |
Locations
370 Grand Ave
Ste 100
Englewood, NJ 07631
Phone (201) 567-5700
5300 Bergenline Ave
Ste 302
West New York, NJ 07093
Phone (201) 430-8266
5300 Bergenline Ave
Ste 320
West New York, NJ 07093
327 60th St
West New York, NJ 07093
Phone (201) 836-5144
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Deramo Orthopaedics
- Sports Medicine (Orthopaedic Surgery) Physician
- West New York, NJ
- NPI 1134969652
-
- Durable Medical Equipment & Medical Supplies
- Saddle Brook, NJ
- NPI 1922459445
-
dba Englewood Sports Medicine Orthopaedic Surgery PC
- Orthopaedic Surgery Physician
- Englewood, NJ
- NPI 1316133564
Sports Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787270400000",
"number": "1063562445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 BERGENLINE AVE STE 302",
"city": "WEST NEW YORK",
"state": "NJ",
"postal_code": "070935616",
"telephone_number": "201-510-9999",
"fax_number": "201-252-0058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5300 BERGENLINE AVE STE 302",
"city": "WEST NEW YORK",
"state": "NJ",
"postal_code": "070935616",
"telephone_number": "201-510-9999",
"fax_number": "201-252-0058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DERAMO",
"first_name": "DAVID",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-10",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "NJ",
"license": "25MA08226000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West New York, NJ
- Maria Jose De la Hoz, D.D.S
- Jorge L Delvalle, D.M.D
- Dennis L. Aponte, M.D., LLC
- Dentistry for All Wny LLC
- Deramo Medical LLC (Deramo Orthopaedics)
- Devaria LLC (The Galaxy Drug Store)
- Devipriyathirugnanasambandam LLC (VEDA Family Dentistry)
- Agustin Diaz, MD
- Sarah Elizabeth Dibble, DDS
- Maria Giuseppina Dibiase, APN-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.