Individual provider Active NPI

Paul S. Demarco, DPM

  • Foot & Ankle Surgery Podiatrist
  • Somers Point, NJ
National Provider Identifier
1215975065
Registry record updated Jan 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
MD02049 Issued in NJ
Practice address
401 Shore Rd
Somers Point, NJ 08244-2630
Phone
(609) 927-4894
Fax
(609) 601-1439
NPI assigned
Jun 3, 2006
Last updated
Jan 6, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X MD02049 NJ Primary

Addresses

Primary practice location

401 Shore Rd
Somers Point, NJ 08244-2630

Mailing address

401 Shore Rd
Somers Point, NJ 08244-2630
Phone (609) 927-4894

Other identifiers 6

IdentifierTypeStateIssuer
P647797OtherNJOXFORD HEALTH ID
1087436OtherNJHORIZON NJ HEALTH ID
0500375000OtherNJAMERIHEALTH HMO ID
2556601OtherNJAETNA ID
6272801MedicaidNJ
0841409000OtherNJAMERIHEALTH PRACTICE ID

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100211000649 NJ Practitioner - Podiatry 9335282409 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

401 Shore Rd
Somers Point, NJ 08244-2630
Phone (609) 927-4894

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions13
Removal of nail tissue204
Removal or shaving of skin growth42
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MD02049NJMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Foot and Ankle Specialists LLC Foot & Ankle Surgery Current Accepting new patients
Paul S. Demarco, DPM, LLC Foot & Ankle Surgery CurrentSince Apr 13, 2001 Accepting new patients
Integrated Foot and Ankle Specialists of NJ LLC Foot & Ankle Surgery CurrentSince Jun 2, 2023 Accepting new patients
Integrated Foot and Ankle Specialists of NJ LLC CurrentSince Jun 2, 2023 Accepting new patients
Affiliated Podiatrists of South Jersey LTD Foot & Ankle Surgery PastSince Oct 19, 2010 Accepting new patients
Don S. Cooper DC PC Past Accepting new patients
Integrated Foot and Ankle Specialists of PA LLC PastSince Sep 1, 2024 Accepting new patients

Locations

401 Shore Rd
Somers Point, NJ 08244
Phone (609) 927-4894

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/6a316867-5684-4988-b95c-94ce28d46d1f/
  • FHIR API: https://fhir-myrecord.cerner.com/r4/7753d029-0f68-4c26-8081-55eb23bb5866/

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262736000000",
    "number": "1215975065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 SHORE RD",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442630",
            "telephone_number": "609-927-4894",
            "fax_number": "609-601-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SHORE RD",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442630",
            "telephone_number": "609-927-4894",
            "fax_number": "609-601-1439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMARCO",
        "first_name": "PAUL",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2010-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "MD02049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH ID",
            "identifier": "P647797",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH ID",
            "identifier": "1087436",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH HMO ID",
            "identifier": "0500375000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID",
            "identifier": "2556601",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6272801",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH PRACTICE ID",
            "identifier": "0841409000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers Point, NJ

Sources for this page

Verify at the official NPI Registry.