Active NPI
Angelo Albert Demarco, M.D.
- Family Medicine Physician
- Hoboken, NJ
National Provider Identifier
1386681617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MA41433
- Practice address
- 108 Washington STR
Hoboken, NJ 07030-4659 - Phone
- (201) 656-5688
- Fax
- (201) 656-8975
- NPI assigned
- Jun 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MA41433 | NJ | Primary |
Addresses
Primary practice location
108 Washington STR
Hoboken, NJ 07030-4659
Mailing address
108 Washington St
Hoboken, NJ 07030-4659
Phone (201) 656-5688
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1527908 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA41433 | NJ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palisades Medical Associates LLC | Current | Accepting new patients | |
| Humc Opco LLC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Primary Care PC | Family Medicine | Current | Accepting new patients |
Locations
985 Cedar Bridge Ave
Brick, NJ 08723
Phone (732) 477-5600
3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463
7600 River Rd
North Bergen, NJ 07047
Phone (201) 854-5000
Interoperability endpoints
- angelo.demarco@direct.hobokenumc.md
- https://mepic.hmhn.org/fhir/api/FHIR/R4/
Organizations & group practices 3
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.
-
dba HMHMG Primary Care
- Family Medicine Physician
- Red Bank, NJ
- NPI 1336203538
-
- Internal Medicine Physician
- North Bergen, NJ
- NPI 1558475087
-
dba Hoboken University Hospital
- General Acute Care Hospital
- Hoboken, NJ
- NPI 1043475668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319414400000",
"number": "1386681617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 WASHINGTON ST",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070304659",
"telephone_number": "201-656-5688",
"fax_number": "201-656-8975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 WASHINGTON STR",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070304659",
"telephone_number": "201-656-5688",
"fax_number": "201-656-8975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMARCO",
"first_name": "ANGELO",
"middle_name": "ALBERT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2011-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "MA41433",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1527908",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hoboken, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; 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.