Alfred De Maria, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

21641 Issued in NC

Practice address

1222 Medical Center Dr
Attn: Credentialing
Wilmington, NC 28401-7307

Phone

(910) 341-3383

Fax

(910) 341-3321

NPI assigned

Aug 29, 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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Wha Medical Clinic PLLC

  • Endoscopy Clinic/Center
  • Wilmington, NC
  • NPI 1083889091
  NPD

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402012800000",
    "number": "1619085545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 DELANEY AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036003",
            "telephone_number": "910-772-9202",
            "fax_number": "866-345-8963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 MEDICAL CENTER DR",
            "address_2": "ATTN: CREDENTIALING",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017307",
            "telephone_number": "910-341-3383",
            "fax_number": "910-341-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE MARIA",
        "first_name": "ALFRED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2014-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "21641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8928311",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "28311",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "130013806",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Dawson, MD
• Sanjai Miika Olavi Dayal, M.D.
• Dena Daybell, MD
• Laurin Daywalt, MPH, RD, LDN
• William James De Leo, M.DIV., M.ED., M.S.
• Deals on Wheels Transport, LLC
• Jessica Taylor Dean
• Megan Elizabeth Dean, OTR/L
• Zachary Raye Dean
• Deana C Cook, DDS, Ms, PLLC

• Neurology Physician in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Neurology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; 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.