Paul S. Demarco, DPM, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

MD02049 Issued in NJ

Legal business name

PAUL S. DEMARCO, DPM, LLC

Practice address

401 Shore Rd
Somers Point, NJ 08244-2630

Phone

(609) 927-4894

Fax

(609) 601-1439

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Paul S Demarco, DPMNPI 1215975065

Title

Owner

Phone

(609) 927-4894

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/6a316867-5684-4988-b95c-94ce28d46d1f/

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul S. Demarco, DPM

  • Foot & Ankle Surgery Podiatrist
  • Somers Point, NJ
  • NPI 1215975065
  Medicare reassignment NPD Authorized official
• Diana Sophia Tsombaris, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Clarksboro, NJ
  • NPI 1104955012
  Medicare reassignment NPD
• Cheryl Wisniewski, DPM

  • Foot Surgery Podiatrist
  • Woodbury Heights, NJ
  • NPI 1063673036
  Medicare reassignment NPD

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1336200799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 SHORE RD",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442630",
            "telephone_number": "609-927-4894",
            "fax_number": "609-601-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SHORE RD",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442630",
            "telephone_number": "609-927-4894",
            "fax_number": "609-601-1439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL S. DEMARCO, DPM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "DEMARCO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-927-4894",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "MD02049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA  ID",
            "identifier": "2556601",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7154101",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH  GROUP ID",
            "identifier": "0841409000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori Paci, RPH
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• Park Bench Rehabilitation Centers
• Mark Austin Pastore, DO
• Paul D Hierholzer DO PC
• Chelsea Paulin, REGISTERED DIETITIAN
• Jan Giselle Fabian Payabyab, DPT
• Dana Peahota
• Ryan Pelikan, LCADC, LSW
• Madelyn Pepe, PA-C

• Foot & Ankle Surgery Podiatrist in Somers Point, NJ
• Providers in Somers Point, NJ by specialty
• Foot & Ankle Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.