Active NPI
Spiro Demetis Physician PC
- Pulmonary Disease Physician
- Brooklyn, NY
National Provider Identifier
1124159694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 168398
- Legal business name
- SPIRO DEMETIS PHYSICIAN PC
- Practice address
- 9001 Fort Hamilton Pkwy
Brooklyn, NY 11209-6408 - Phone
- (718) 748-4446
- Fax
- (718) 748-3593
- NPI assigned
- Mar 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Spiro Demetis
- Title
- President
- Phone
- (718) 748-4446
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 168398 | NY | |
| Pulmonary Disease Physician | 207RP1001X | 168398 | NY | Primary |
Addresses
Primary practice location
9001 Fort Hamilton Pkwy
Brooklyn, NY 11209-6408
Mailing address
9001 Fort Hamilton Pkwy
Brooklyn, NY 11209-6408
Phone (718) 748-4446
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 141203 | Other | NY | AETNA |
| 0690046007 | Other | NY | CIGNA |
| 2900032 | Other | NY | GHI |
| 46205P | Other | NY | HIP |
| KS975 | Other | NY | OXFORD |
| 01608731 | Medicaid | NY | |
| 1000017422 | Other | NY | AFFINITY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1189728000000",
"number": "1124159694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9001 FORT HAMILTON PKWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112096408",
"telephone_number": "718-748-4446",
"fax_number": "718-748-3593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9001 FORT HAMILTON PKWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112096408",
"telephone_number": "718-748-4446",
"fax_number": "718-748-3593"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPIRO DEMETIS PHYSICIAN PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-08",
"last_updated": "2007-09-14",
"status": "A",
"authorized_official_last_name": "DEMETIS",
"authorized_official_first_name": "SPIRO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-748-4446",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NY",
"license": "168398",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NY",
"license": "168398",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "141203",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0690046007",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "2900032",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "46205P",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "KS975",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01608731",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AFFINITY",
"identifier": "1000017422",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.