Individual provider Active NPI

Gerard Joseph Demauro, MS, PT

  • Pediatric Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1265673750
Registry record updated Mar 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
007422-1 Issued in NY
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

Updated by the provider on Mar 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
007422-1NYMDSpeech-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.

Verify at the official NPI Registry.