Demetrios Mikelis, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

216578 Issued in NY

Practice address

2001 Marcus Ave
Suite 170 West
New Hyde Park, NY 11042-2061

Phone

(516) 355-0111

Fax

(516) 355-5011

NPI assigned

Apr 24, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368576000000",
    "number": "1447694153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 CHASE RD",
            "address_2": "PO BOX 701",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105837500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MARCUS AVE",
            "address_2": "SUITE 170 WEST",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110422061",
            "telephone_number": "516-355-0111",
            "fax_number": "516-355-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKELIS",
        "first_name": "DEMETRIOS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-24",
        "last_updated": "2013-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "216578",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "216578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regine Anne Michel, N.P.
• McKenzie Caroline Middlebrooks, CNM
• Joanna M Midy, WHNP
• Roseann Mignone, PA
• Erik Anthony Mikelinich
• Patricia Madeline Mikell, NP
• David Mikhail, MD, FRCSC
• Matthew D Mikula
• Ruth Milanaik, MD
• Francesca Katherine Milavetz, PHARMD

• Physical Medicine & Rehabilitation Physician in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.