Individual provider Active NPI

Angelo Albert Demarco, M.D.

  • Family Medicine Physician
  • Hoboken, NJ
National Provider Identifier
1386681617
Registry record updated Oct 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MA41433 Issued in NJ
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

Updated by the provider on Oct 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1527908MedicaidNJ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110722000250 NJ Practitioner - Family Practice 4981872702 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA41433NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palisades Medical Associates LLC CurrentSince Feb 1, 2018 Accepting new patients
Humc Opco LLC Current Accepting new patients
Hackensack Meridian Health Medical Group - Primary Care PC Family Medicine CurrentSince Jan 1, 2020 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

  • Direct secure messaging: angelo.demarco@direct.hobokenumc.md
  • FHIR API: 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.

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

Verify at the official NPI Registry.