Organization Active NPI

Chris Demetriou MD PC

  • Gastroenterology Physician
  • Garden City, NY
National Provider Identifier
1386954279
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
CHRIS DEMETRIOU MD PC
Practice address
623 Stewart Ave Ste 106
Garden City, NY 11530-4771
Phone
(516) 650-3355
Fax
(866) 706-0812
NPI assigned
Oct 14, 2010
Last updated
May 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Authorized official

Name
Ms. Veronica Verde
Title
Administrator
Phone
(516) 650-3355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X Primary

Addresses

Primary practice location

623 Stewart Ave Ste 106
Garden City, NY 11530-4771

Mailing address

623 Stewart Ave Ste 106
Garden City, NY 11530-4771
Phone (516) 650-3355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110316000777 NY Part B Supplier - Clinic/Group Practice 4284816927 Receives reassigned benefits from 6 practitioners
Practice locations: Garden City, NY; Mineola, NY; Long Beach, NY; Amityville, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2019384Chris Demetriou MD PC623 Stewart Ave Suite 106, Garden City, NY 11530ComplianceMar 26, 2027

National Provider Directory

National Provider Directory

Locations

618 Route 110
Amityville, NY 11701
Phone (516) 691-6000

1205 Franklin Ave
Ste 150
Garden City, NY 11530
Phone (516) 222-0067

623 Stewart Ave
Ste 100
Garden City, NY 11530
Phone (516) 464-6888

623 Stewart Ave
Ste 101
Garden City, NY 11530
Phone (516) 222-7827

623 Stewart Ave
Ste 106
Garden City, NY 11530
Phone (516) 351-9264

272 W Park Ave
Long Beach, NY 11561
Phone (516) 650-3355

300 Old Country Rd
Mineola, NY 11501
Phone (516) 280-2599

Practitioners & affiliated clinicians

Practitioners 61

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 61

NPI Registry JSON

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746403200000",
    "number": "1386954279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 STEWART AVE STE 106",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304771",
            "telephone_number": "516-650-3355",
            "fax_number": "866-706-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 STEWART AVE STE 106",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304771",
            "telephone_number": "516-650-3355",
            "fax_number": "866-706-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS DEMETRIOU MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-14",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A",
        "authorized_official_last_name": "VERDE",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "516-650-3355",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.