Ralph Demario, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD034548E Issued in PA

Practice address

340 Momtage Mt Road
Moosic, PA 18507

Phone

(570) 969-1669

Fax

(570) 207-0883

NPI assigned

Jan 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DE

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Delaware Hospice, Inc

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Newark, DE
  • NPI 1821361072

  DE

  Medicare reassignment NPD
• Delta Medix PC

  • Legal Medicine
  • Scranton, PA
  • NPI 1396701876
  NPD (past)
• Vascular Diagnostic Center PC

  • Vascular & Interventional Radiology Physician
  • Scranton, PA
  • NPI 1255308441
  NPD (past)

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237852800000",
    "number": "1528047347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 MONTAGE MT. ROAD",
            "city": "MOOSIC",
            "state": "PA",
            "postal_code": "18507",
            "telephone_number": "570-969-1669",
            "fax_number": "570-207-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 MOMTAGE MT ROAD",
            "city": "MOOSIC",
            "state": "PA",
            "postal_code": "18507",
            "telephone_number": "570-969-1669",
            "fax_number": "570-207-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMARIO",
        "first_name": "RALPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2009-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD034548E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00114076",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Cummins
• Franciele Dacruz, LAPC
• Danilo de Soto MD PC
• Jean Marie Decker, LSW
• Kristin Drzewiecki Deeugenio, D.C.
• Ellen Therese Dente, BCBA
• Carol A Devine, RN CNS
• Jane Drasba
• Marian Louise Farrell, PHD, APRN, PMH-BC,
• Joseph James Fauzio Jr., LCSW

• All providers in Moosic, PA
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; 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.

Verify at the official NPI Registry.