Individual provider Active NPI

Spero Evan Demoleas, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Old Tappan, NJ
National Provider Identifier
1295776755
Registry record updated Dec 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
MD01964 Issued in NJ
Practice address
215 Old Tappan Rd
Old Tappan, NJ 07675-7000
Phone
(201) 930-9090
Fax
(201) 930-1823
NPI assigned
Jun 8, 2006
Last updated
Dec 2, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X MD01964 NJ Primary
Foot & Ankle Surgery Podiatrist 213ES0103X N004380 NY

Addresses

Primary practice location

215 Old Tappan Rd
Old Tappan, NJ 07675-7000

Mailing address

215 Old Tappan Rd
Old Tappan, NJ 07675-7000
Phone (201) 930-9090

Other identifiers 1

IdentifierTypeStateIssuer
PG6421OtherNYBC/BS NY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110620000132 NY Practitioner - Podiatry 4688797129 Practice locations: Bronx, NY; Ardsley, NY; Yonkers, NY
I20110621000127 NJ Practitioner - Podiatry 4688797129 Reassigns benefits to 1 organization
Practice locations: Montvale, NJ; Park Ridge, NJ; Paramus, NJ; Old Tappan, NJ; Englewood, NJ

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curalta Medical LLCGroup PAC ID 0749670453, 69 clinicians

Practice addresses (Care Compare)

124 Noyes Dr
Park Ridge, NJ 07656-1294
Phone (201) 930-9090

195 Old Tappan Rd
Old Tappan, NJ 07675-7042
Phone (201) 930-9090

215 Old Tappan Rd
Old Tappan, NJ 07675-7000
Phone (201) 930-9090

350 Engle St
Englewood, NJ 07631-1808
Phone (201) 930-9090

631 Saw Mill River Rd
Ardsley, NY 10502-2146
Phone (914) 693-8479

967 N Broadway
Yonkers, NY 10701-1301
Phone (914) 693-8479

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.63 of 100Reported as group
Quality
83.84
Promoting interoperability
87
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
37.46 of 100Reported as individual
Quality
70.26
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue331
Removal of skin lesions50
Removal of nail tissue2523
Removal or shaving of skin growth992
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004380NYMDAcupuncturist
MD01964NJMDFoot & Ankle Surgery Podiatrist
N004380NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Foot and Ankle Foot & Ankle Surgery CurrentSince Jan 7, 2018 Accepting new patients
Curalta Medical LLC Foot & Ankle Surgery CurrentSince Dec 1, 2021 Accepting new patients
Proactive Foot and Ankle CurrentSince Jun 22, 2017 Accepting new patients
Curalta Medical LLC Foot & Ankle Surgery CurrentSince Dec 1, 2021 Accepting new patients
Spero E Demoleas Foot & Ankle Surgery CurrentSince Oct 1, 2001 Accepting new patients

Locations

215 Old Tappan Rd
Old Tappan, NJ 07675
Phone (201) 666-1000

215 Old Tappan Rd
Ste 2
Old Tappan, NJ 07675
Phone (201) 666-8811

215 Old Tappan Rd
Ste 3
Old Tappan, NJ 07675

74 Pascack Rd
Ste 6
Park Ridge, NJ 07656
Phone (201) 291-1113

504 Hamburg Tpke
Ste 101
Wayne, NJ 07470
Phone (973) 956-8600

631 Saw Mill River Rd
Ste 1
Ardsley, NY 10502
Phone (914) 693-8479

631 Saw Mill River Rd
Ste 1S
Ardsley, NY 10502
Phone (914) 693-8479

Interoperability endpoints

  • Direct secure messaging: sdemoleas@pfaasdd-nj.direct.office.nextgen.com
  • Direct secure messaging: sdemoleas189583@ahs.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322784000000",
    "number": "1295776755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 OLD TAPPAN RD",
            "city": "OLD TAPPAN",
            "state": "NJ",
            "postal_code": "076757000",
            "telephone_number": "201-930-9090",
            "fax_number": "201-930-1823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 OLD TAPPAN RD",
            "city": "OLD TAPPAN",
            "state": "NJ",
            "postal_code": "076757000",
            "telephone_number": "201-930-9090",
            "fax_number": "201-930-1823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMOLEAS",
        "first_name": "SPERO",
        "middle_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2011-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "MD01964",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N004380",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS NY",
            "identifier": "PG6421",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Tappan, NJ

Sources for this page

Verify at the official NPI Registry.