Individual provider Active NPI

Charles J. Demarco, M.D.

  • Diagnostic Radiology Physician
  • Rego Park, NY
National Provider Identifier
1285634576
Registry record updated Sep 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
177726 Issued in NY
Practice address
62-43 Woodhaven Blvd
Rego Park, NY 11374-3731
Phone
(718) 507-4700
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 177726 NY Primary

Addresses

Primary practice location

62-43 Woodhaven Blvd
Rego Park, NY 11374-3731

Mailing address

62-43 Woodhaven Blvd
Rego Park, NY 11374-3731
Phone (718) 507-4700

Other identifiers 1

IdentifierTypeStateIssuer
01724432MedicaidNY

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
I20040311001285 NY Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 4183525165 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Nuclear Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alpha Neurology,PCGroup PAC ID 5799740577, 4 clinicians
Medical Doctor Milena Kolesnikova PCGroup PAC ID 1254748320, 6 clinicians

Practice addresses (Care Compare)

1408 Ocean Ave
FL 3
Brooklyn, NY 11230-3814
Phone (718) 252-0101

27 New Dorp LN
Staten Island, NY 10306-2349
Phone (718) 667-3800

586 Midland Ave
Suite B
Staten Island, NY 10306-5903
Phone (347) 201-5081

6243 Woodhaven Blvd
Rego Park, NY 11374-3731
Phone (718) 507-4700

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Merit-based Incentive Payment System (MIPS)

Final score
86.89 of 100Reported as group
Quality
87.77
Promoting interoperability
100
Improvement activities
40
Cost
68.55

Merit-based Incentive Payment System (MIPS)

Final score
10.33 of 100Reported as individual
Quality
15
Improvement activities
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07803500NJMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Better Medical Health PC Diagnostic Radiology CurrentSince Oct 1, 2004 Accepting new patients
Timothy D. Groth MD PC CurrentSince May 1, 2024 Accepting new patients
Paragas Corp CurrentSince Nov 1, 2015 Accepting new patients
DRL Plus Inc. CurrentSince Nov 30, 2017 Accepting new patients
New York Sports Spine Pain Medicine P.C. CurrentSince Jul 26, 2024 Accepting new patients
Wellcare of BX Medical PC CurrentSince Apr 30, 2023 Accepting new patients
Middle Village Diagnostic Imaging PC Diagnostic Radiology CurrentSince Apr 1, 2005 Accepting new patients
Medical Doctor Milena Kolesnikova PC CurrentSince Apr 1, 2025 Accepting new patients
Synergy Health Medical Solutions PC CurrentSince Jun 26, 2023 Accepting new patients
DP Radiology Imaging PC Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
Alpha Neurology,PC Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
East Brunswick Imaging Associates LLC Past Accepting new patients
Neighborhood Radiology Services, P.C. Diagnostic Radiology PastSince Mar 22, 2020 Accepting new patients
Northern Boulevard Imaging, MDPC Past Accepting new patients
Comprehensive Imaging of New York Past Accepting new patients
North Star Medical PC Past Accepting new patients
Empire Medical of Rockaway Beach Past Accepting new patients
The Parkway Hospital Past Accepting new patients
Maurice Pharmacy Inc PastSince Oct 6, 2010 Accepting new patients
Charles J Demarco, PC Dba Allied Health Imaging Diagnostic Radiology PastSince Jan 1, 2005 Accepting new patients
Central Radiology Services Diagnostic Radiology Past Accepting new patients
Doshi Diagnostic Imaging Services PC Diagnostic Radiology PastSince Jan 1, 2012 Accepting new patients
Lenox Hill Radiology & Medical Imaging Associates, PC Diagnostic Radiology PastSince Dec 1, 2015 Accepting new patients
Williamsburg Medical Imaging, PC Diagnostic Radiology PastSince Apr 30, 2003 Accepting new patients
Stony Brook Radiologic Services PC Diagnostic Radiology Past Accepting new patients

Locations

2336 Grand Concourse
Bronx, NY 10458
Phone (718) 220-0439

858 E Tremont Ave
Bronx, NY 10460
Phone (212) 927-1717

4310 Church Ave
Brooklyn, NY 11203
Phone (718) 282-0006

1408 Ocean Ave
Brooklyn, NY 11230
Phone (718) 677-7600

5321 Flatlands Ave
Brooklyn, NY 11234
Phone (718) 442-3434

1408 Ocean Ave
Fl 3
Brooklyn, NY 11230
Phone (718) 252-0101

95 Clinton St
Hempstead, NY 11550
Phone (516) 292-0800

184 Old Country Rd
Mineola, NY 11501
Phone (516) 294-4457

6243 Woodhaven Blvd
Rego Park, NY 11374
Phone (718) 507-4700

994 W Jericho Tpke
Ste 104
Smithtown, NY 11787
Phone (516) 400-3595

12620 101st Ave
South Richmond Hill, NY 11419
Phone (718) 322-4145

13102 Liberty Ave
South Richmond Hill, NY 11419
Phone (516) 444-7198

13104 Liberty Ave
South Richmond Hill, NY 11419
Phone (516) 587-0950

27 New Dorp Ln
Staten Island, NY 10306
Phone (718) 667-3800

586 Midland Ave
Ste B
Staten Island, NY 10306
Phone (347) 201-5081

5718 Woodside Ave
Ste B101
Woodside, NY 11377
Phone (718) 722-1229

Networks

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

Organizations & group practices 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379462400000",
    "number": "1285634576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62-43 WOODHAVEN BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743731",
            "telephone_number": "718-507-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62-43 WOODHAVEN BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743731",
            "telephone_number": "718-507-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMARCO",
        "first_name": "CHARLES",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2013-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "177726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01724432",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

Verify at the official NPI Registry.