Active NPI
Gerard Joseph Demauro, MS, PT
- Pediatric Physical Therapist
- Brooklyn, NY
National Provider Identifier
1265673750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 007422-1
- Practice address
- 145 Henry St
Apt. 4-B
Brooklyn, NY 11201-2526 - Phone
- (718) 855-5517
- Fax
- (718) 855-5517
- NPI assigned
- Mar 13, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 007422-1 | NY | Primary |
Addresses
Primary practice location
145 Henry St
Apt. 4-B
Brooklyn, NY 11201-2526
Mailing address
145 Henry St
Apt. 4-B
Brooklyn, NY 11201-2526
Phone (718) 855-5517
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007422-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236902400000",
"number": "1265673750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 HENRY ST",
"address_2": "APT. 4-B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112012526",
"telephone_number": "718-855-5517",
"fax_number": "718-855-5517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 HENRY ST",
"address_2": "APT. 4-B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112012526",
"telephone_number": "718-855-5517",
"fax_number": "718-855-5517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMAURO",
"first_name": "GERARD",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "MS, PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-13",
"last_updated": "2009-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NY",
"license": "007422-1",
"primary": true
}
],
"identifiers": [],
"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 Mar 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.