Nicole Elise Demeo, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

011306 Issued in NY

Practice address

4802 10TH Ave
Attention Labor and Delivery
Brooklyn, NY 11219-2916

Phone

(718) 283-8636

NPI assigned

May 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Networks

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

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.

• Maimonides Faculty Practice Plan

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1053344846
  NPD (past)
• MMC OB/GYN Hospital

  • Specialist
  • Brooklyn, NY
  • NPI 1679570766
  NPD (past)
• Rutgers Health-RWJ Pediatric Critical Care

  • Pediatric Critical Care Medicine Physician
  • New Brunswick, NJ
  • NPI 1164510400
  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425340800000",
    "number": "1326269689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 JACK LN",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4802 10TH AVE",
            "address_2": "ATTENTION LABOR AND DELIVERY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192916",
            "telephone_number": "718-283-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMEO",
        "first_name": "NICOLE",
        "middle_name": "ELISE",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2015-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "011306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Demeglio, RPA-C
• Maryclare Demenna
• Vilena Dementyeva, RN
• Gina Demeo, DO
• Harry G Demeo, MD
• Dennis Demeria, M.D.
• Roseann Demers
• Telly Lim Demesa, M.D.
• Gabriel Demesmin, PTA
• Danielle Demeter, LMSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.