Active NPI
Spero Evan Demoleas, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Old Tappan, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- MD01964
- 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, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PG6421 | Other | NY | BC/BS NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
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
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 100
- Quality
- 83.84
- Promoting interoperability
- 87
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 37.46 of 100
- Quality
- 70.26
- Improvement activities
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 331 |
| Removal of skin lesions | 50 |
| Removal of nail tissue | 2523 |
| Removal or shaving of skin growth | 992 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004380 | NY | MD | Acupuncturist |
| MD01964 | NJ | MD | Foot & Ankle Surgery Podiatrist |
| N004380 | NY | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proactive Foot and Ankle | Foot & Ankle Surgery | Current | Accepting new patients |
| Curalta Medical LLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Proactive Foot and Ankle | Current | Accepting new patients | |
| Curalta Medical LLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Spero E Demoleas | Foot & Ankle Surgery | Current | 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
- sdemoleas@pfaasdd-nj.direct.office.nextgen.com
- 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.
-
- Foot & Ankle Surgery Podiatrist
- Old Tappan, NJ
- NPI 1508043514
-
- Durable Medical Equipment & Medical Supplies
- Millburn, NJ
- NPI 1679303366
Foot & Ankle Surgery
-
- Foot & Ankle Surgery Podiatrist
- Park Ridge, NJ
- NPI 1639699325
-
- Durable Medical Equipment & Medical Supplies
- Old Tappan, NJ
- NPI 1710477864
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Englewood, NJ
- NPI 1083612881
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
- Curalta Medical LLC
- David Jenkins, P.a. (Jenkins Orthodontics)
- Diana De Jesus, LCSW
- Arthur Robert De Siimone, M.D.
- Ann Marie Deangelo, MD
- Donna Maria Dephillips, M.D.
- Brian Desmond
- Donna M. Dephillips Limited Liability Company
- Dynamic Mental Health Services, LLC
- Eating Disorder Medical Nutrition Therapy
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; 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.