Demreca LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

DEMRECA LLC

Practice address

261 51St St
Avalon, NJ 08202-1310

Phone

(609) 624-8986

Fax

(609) 624-9098

NPI assigned

Feb 19, 2008

Last updated

Feb 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Dierkes, D.O.

Title

President

Phone

(609) 624-8986

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1114195500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 51ST ST",
            "city": "AVALON",
            "state": "NJ",
            "postal_code": "082021310",
            "telephone_number": "609-624-8986",
            "fax_number": "609-624-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 51ST ST",
            "city": "AVALON",
            "state": "NJ",
            "postal_code": "082021310",
            "telephone_number": "609-624-8986",
            "fax_number": "609-624-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEMRECA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "DIERKES",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-624-8986",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte Ann Alspach, MD
• Brittani Nicole Helverson, DPT
• Lisa M Rado, CN, IHC
• Wayne Thomas Rensimer, M.D.
• William F Robinson Jr., DMD
• Edwin Williams, MD

• Pediatrics Physician in Avalon, NJ
• Providers in Avalon, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.