Lawrence Thomas Demilio, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

MD036633E Issued in PA

Practice address

1122 Route 22 West, 2ND Floor
Mountainside, NJ 07092

Phone

(908) 654-7399

Fax

(908) 654-7422

NPI assigned

Mar 27, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, PA2 enrollments

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 2

Specialty

Psychiatry

Education

New York Medical College, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588783237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 WOODBINE CIRCLE",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079741757",
            "telephone_number": "717-330-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 ROUTE 22 WEST, 2ND FLOOR",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "07092",
            "telephone_number": "908-654-7399",
            "fax_number": "908-654-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMILIO",
        "first_name": "LAWRENCE",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "MD036633E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrienne L Darpino, MSPT
• Rosa N De Jesus, OTR
• Janine Defeo, CPNP
• Connor Defronzo, PA-C
• Amanda Dembowski, LSW
• Daniel Deoliveira
• Laura Deroche
• Jennifer Dombrowski, M.S. OTR
• Ashley Donkor, LCSW
• Emily Doskow, LCSW

• Child & Adolescent Psychiatry Physician in Mountainside, NJ
• Providers in Mountainside, NJ by specialty
• Child & Adolescent Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• 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.