Telly Lim Demesa, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

150826 Issued in NY

Practice address

Cumberland Diagnostic & Treatment Center
100 North Portland Avenue
Brooklyn, NY 11205

Phone

(718) 260-7895

Fax

(718) 260-7636

NPI assigned

Jun 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316974306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 CROAK AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103145638",
            "telephone_number": "718-260-7759",
            "fax_number": "718-983-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CUMBERLAND DIAGNOSTIC & TREATMENT CENTER",
            "address_2": "100 NORTH PORTLAND AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11205",
            "telephone_number": "718-260-7895",
            "fax_number": "718-260-7636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMESA",
        "first_name": "TELLY",
        "middle_name": "LIM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "150826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CENTERCARE",
            "identifier": "PC908",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gina Demeo, DO
• Harry G Demeo, MD
• Nicole Elise Demeo, P.A.
• Dennis Demeria, M.D.
• Roseann Demers
• Gabriel Demesmin, PTA
• Danielle Demeter, LMSW
• John D Demetriades
• Penelope Demetriades
• Penelope Demetriades, RPH

• Pediatrics Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.