Individual provider Active NPI

M. Jennifer Demarco, D.O.

  • Family Medicine Physician
  • Amityville, NY
National Provider Identifier
1265611131
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
219063 Issued in NY
Practice address
191 Grand Central Ave
Amityville, NY 11701-3706
Phone
(631) 598-2318
Fax
(631) 598-5115
NPI assigned
Oct 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 219063 NY Primary

Addresses

Primary practice location

191 Grand Central Ave
Amityville, NY 11701-3706

Mailing address

191 Grand Central Ave
Amityville, NY 11701-3706
Phone (631) 598-2318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041110000961 NY Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 0941262828 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHS Physician Partners PCGroup PAC ID 7618955667, 739 clinicians

Practice addresses (Care Compare)

1000 N Village Ave
FL 2
Rockville Centre, NY 11570-1000
Phone (631) 775-5864

2000 N Village Ave
Suite 314
Rockville Centre, NY 11570-1001
Phone (516) 594-5671

Hospital & facility affiliations

  • Mercy Medical Center Hospital, Rockville Centre, NY, CCN 330259

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
CHS Physician Partners, PC Current Accepting new patients
M. Jennifer Demarco D.O., LLC Family Medicine CurrentSince Jul 30, 2003 Accepting new patients
CHS Physician Partners, P.C CurrentSince Mar 1, 2020 Accepting new patients
Long Island Pulmonary Associates, PC Past Accepting new patients

Locations

661 Deer Park Ave
Babylon, NY 11702
Phone (631) 376-3880

245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141

1000 N Village Ave
Fl 2
Rockville Centre, NY 11570
Phone (516) 517-7000

2000 N Village Ave
Ste 307
Rockville Centre, NY 11570
Phone (516) 594-5671

2000 N Village Ave
Ste 20
Rockville Ctr, NY 11570
Phone (516) 536-7007

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

2000 N Village Ave
Ste 314
Rockville Ctr, NY 11570
Phone (516) 561-6119

2000 N Village Ave
Ste 206
Rockville Ctr, NY 11570
Phone (516) 208-5501

2000 N Village Ave
Ste 204
Rockville Ctr, NY 11570
Phone (516) 536-2211

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: mdemarco46923@direct-chsli.net

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363219200000",
    "number": "1265611131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 GRAND CENTRAL AVE",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117013706",
            "telephone_number": "631-598-2318",
            "fax_number": "631-598-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 GRAND CENTRAL AVE",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117013706",
            "telephone_number": "631-598-2318",
            "fax_number": "631-598-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMARCO",
        "first_name": "M.",
        "middle_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-29",
        "last_updated": "2013-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "219063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amityville, NY

Sources for this page

Verify at the official NPI Registry.