Active NPI
Alfred Paul Demaria Jr., M.D.
- Internal Medicine Physician
- Jamaica Plain, MA
National Provider Identifier
1558401588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 41088
- Practice address
- 305 South St
Jamaica Plain, MA 02130-3515 - Phone
- (617) 983-6550
- Fax
- (617) 983-6925
- NPI assigned
- Feb 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 41088 | MA | |
| Internal Medicine Physician | 207R00000X | 41088 | MA | Primary |
Addresses
Primary practice location
305 South St
Jamaica Plain, MA 02130-3515
Mailing address
305 South St
Jamaica Plain, MA 02130-3515
Phone (617) 983-6550
Other names 1
- Dr. Alfred Demaria Jr.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170228001246 | MA | Order and Referring Only - Internal Medicine | 4082624234 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Commonwealth of Massachusetts | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Holyoke, MA
- NPI 1427111574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541548800000",
"number": "1558401588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 SOUTH ST",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "021303515",
"telephone_number": "617-983-6550",
"fax_number": "617-983-6925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 SOUTH ST",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "021303515",
"telephone_number": "617-983-6550",
"fax_number": "617-983-6925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMARIA",
"first_name": "ALFRED",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2018-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "MA",
"license": "41088",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "41088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALFRED",
"last_name": "DEMARIA",
"prefix": "DR.",
"suffix": "JR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Jamaica Plain, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; 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.