Active NPI
James Ray Demicco, MD
- Internal Medicine Physician
- Norwood, MA
National Provider Identifier
1629020433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 43000
- Practice address
- 111 Morse Street
Brigham and Womens at Norwood
Norwood, MA 02062 - Phone
- (781) 440-3700
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 43000 | MA | Primary |
Addresses
Primary practice location
111 Morse Street
Brigham and Womens at Norwood
Norwood, MA 02062
Mailing address
111 Cypress St
Brigham and Womens Physicians Organization
Brookline, MA 02445
Phone (617) 582-1200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43000 | MA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629020433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 CYPRESS ST",
"address_2": "BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "02445",
"telephone_number": "617-582-1200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 MORSE STREET",
"address_2": "BRIGHAM AND WOMENS AT NORWOOD",
"city": "NORWOOD",
"state": "MA",
"postal_code": "02062",
"telephone_number": "781-440-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMICCO",
"first_name": "JAMES",
"middle_name": "RAY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "43000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwood, MA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.