Active NPI
M. Jennifer Demarco, D.O.
- Family Medicine Physician
- Amityville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 219063
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- 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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CHS Physician Partners, PC | Current | Accepting new patients | |
| M. Jennifer Demarco D.O., LLC | Family Medicine | Current | Accepting new patients |
| CHS Physician Partners, P.C | Current | 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
- 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.
-
- Interventional Cardiology Physician
- Fresh Meadows, NY
- NPI 1407089345
-
- Family Medicine Physician
- Amityville, NY
- NPI 1588749535
-
- Cardiovascular Disease Physician
- Roslyn, NY
- NPI 1164585725
-
- Pulmonary Disease Physician
- Rockville Centre, NY
- NPI 1376772533
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Rockville Centre, NY
- NPI 1427017854
-
- Rehabilitation Hospital Unit
- Rockville Centre, NY
- NPI 1598724924
-
- General Acute Care Hospital
- Rockville Centre, NY
- NPI 1659330173
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.