Demeterio & Nejatheim MD PC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

DEMETERIO & NEJATHEIM MD PC

Practice address

265 E Merrick Rd
Valley Stream, NY 11580-6004

Phone

(516) 825-1667

Fax

(516) 825-4006

NPI assigned

Nov 17, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Irene Nejatheim

Title

Office Manager

Phone

(516) 825-1667

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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

• Masood Nejatheim, MD

  • Diagnostic Radiology Physician
  • Valley Stream, NY
  • NPI 1710062468
  Medicare reassignment NPD
• Allon Nejatheim, O.D.

  • Optometrist
  • New York, NY
  • NPI 1326092982
  NPD (past)

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321488000000",
    "number": "1376810424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 E MERRICK RD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115806004",
            "telephone_number": "516-825-1667",
            "fax_number": "516-825-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 E MERRICK RD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115806004",
            "telephone_number": "516-825-1667",
            "fax_number": "516-825-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEMETERIO & NEJATHEIM MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-17",
        "last_updated": "2011-11-17",
        "status": "A",
        "authorized_official_last_name": "NEJATHEIM",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "516-825-1667",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deleon Dental Office
• Vanessa Delos Santos
• Carlton Delpeche
• Nathalie Delva-Jemmott, NURSE PRACTITIONER
• Ellysha Delva
• Nadia Denis, D.O.
• Dental Associates of Valley Stream PC
• Jennifer Denton
• Patricia Denton
• Sonia Marie Depass-Nembhard, MSC/ TSHH

• Diagnostic Radiology Physician in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.