Mary Patricia Demetriou

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

580-177 36 Issued in NY

Practice address

890 Cauldwell Ave
Bronx, NY 10456-7302

Phone

(718) 585-2950

NPI assigned

Nov 18, 2008

Last updated

Mar 15, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1063667004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6147 69TH LN",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113791224",
            "telephone_number": "646-401-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 CAULDWELL AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104567302",
            "telephone_number": "718-585-2950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1983 Marcus Ave",
            "address_purpose": "LOCATION",
            "city": "New Hyde Park",
            "state": "NY",
            "postal_code": "110421016",
            "country_code": "US",
            "telephone_number": "516-326-5600 x5609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEMETRIOU",
        "first_name": "MARY",
        "middle_name": "PATRICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-18",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "580-177 36",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Salvatore Demasi
• Julie Dementyeva, PTA
• Demetrices Med Supplies, LLC
• Sonia Demetrios, M.D.
• Anastasios Demetriou, PHARMD
• Gina Demetruis, BCBA
• Anthony Raymond Demieri
• Ali Demir, MD
• Dilarom Demiralay, PSYD
• Ivan John Demirci, RN

• Speech-Language Pathologist in Bronx, NY
• Providers in Bronx, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.