Active NPI
Marian B Demeny, MD
- Allergy & Immunology Physician
- Elmhurst, NY
National Provider Identifier
1104863968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 120874
- Practice address
- 8615 Queens Blvd
Elmhurst, NY 11373-4427 - Phone
- (718) 899-6600
- Fax
- (718) 397-7782
- NPI assigned
- Jun 1, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 120874 | NY | Primary |
Addresses
Primary practice location
8615 Queens Blvd
Elmhurst, NY 11373-4427
Mailing address
1000 Zeckendorf Blvd
Garden City, NY 11530-2133
Phone (516) 542-6880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00860040 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Qlimg Rochdale Village OB/GYN Office | Allergy & Immunology | Past | Accepting new patients |
Organizations & group practices 1
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": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289520000000",
"number": "1104863968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 ZECKENDORF BLVD",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115302133",
"telephone_number": "516-542-6880",
"fax_number": "516-542-5556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8615 QUEENS BLVD",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113734427",
"telephone_number": "718-899-6600",
"fax_number": "718-397-7782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMENY",
"first_name": "MARIAN",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-01",
"last_updated": "2010-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "NY",
"license": "120874",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00860040",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.