Individual provider Active NPI

Didier A. Demesmin, M.D.

  • Interventional Pain Medicine Physician
  • Somerset, NJ
National Provider Identifier
1336170216
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
25MA07892100 Issued in NJ
Practice address
59 Veronica Ave
Somerset, NJ 08873-3448
Phone
(732) 873-6868
Fax
(732) 873-6869
NPI assigned
Jul 6, 2006
Last updated
Nov 2, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 25MA07892100 NJ Primary

Addresses

Primary practice location

59 Veronica Ave
Somerset, NJ 08873-3448

Mailing address

59 Veronica Ave
Somerset, NJ 08873-3448
Phone (732) 873-6868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050622000134 NJ Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 4385689298 Reassigns benefits to 3 organizations
I20231205002987 NY Practitioner - Interventional Pain ManagementPractitioner - Pain Management 4385689298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Physical Medicine, LLCGroup PAC ID 4284879792, 6 clinicians
University Pain Medicine Center, LLCGroup PAC ID 5294812038, 2 clinicians

Practice addresses (Care Compare)

103 Professional View Dr
Suite 103
Freehold, NJ 07728-7902
Phone (732) 780-5179

59 Veronica Ave
Suite 1
Somerset, NJ 08873-3580
Phone (732) 873-6868

717 Front St
Hempstead, NY 11550-4534
Phone (201) 342-1205

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
228550NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guardian Anesthesia CurrentSince Aug 1, 2020 Accepting new patients
New York Pain Medicine Associate, PLLC Interventional Pain Medicine CurrentSince Aug 1, 2023 Accepting new patients
JFK Ambulatory Care Current Accepting new patients
University Pain Medicine Center, LLC Interventional Pain Medicine CurrentSince Oct 1, 2007 Accepting new patients
Community Hospital Group Inc CurrentSince Jun 1, 2007 Accepting new patients
Community Hospital Group, Inc. CurrentSince Jun 1, 2007 Accepting new patients
Advanced Physical Medicine, LLC CurrentSince Jun 6, 2020 Accepting new patients
Stemmee PastSince Mar 2, 2017 Accepting new patients
90TH Street Surgical PLLC Interventional Pain Medicine PastSince Sep 29, 2024 Accepting new patients

Locations

65 James St
Edison, NJ 08820
Phone (732) 321-7010

103 Professional View Dr
Ste 103
Freehold, NJ 07728
Phone (732) 780-5179

294 Applegarth Rd
Ste G
Monroe, NJ 08831
Phone (732) 828-1003

240 Easton Ave
New Brunswick, NJ 08901
Phone (732) 339-7896

59 Veronica Ave
Somerset, NJ 08873
Phone (732) 873-6868

59 Veronica Ave
Ste 1
Somerset, NJ 08873
Phone (732) 873-6868

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

717 Front St
Hempstead, NY 11550
Phone (516) 565-3534

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1336170216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 VERONICA AVE",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088733448",
            "telephone_number": "732-873-6868",
            "fax_number": "732-873-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 VERONICA AVE",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088733448",
            "telephone_number": "732-873-6868",
            "fax_number": "732-873-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMESMIN",
        "first_name": "DIDIER",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NJ",
            "license": "25MA07892100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

Verify at the official NPI Registry.