George Demidowich, MD, F.A.C.C

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

25MA03396800 Issued in NJ

Practice address

340 E Northfield Rd
Suite 1-B
Livingston, NJ 07039-4892

Phone

(973) 994-0880

Fax

(973) 994-9408

NPI assigned

Jul 22, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

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

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.

• Ekg Interpretation Group

  • Cardiovascular Disease Physician
  • West Orange, NJ
  • NPI 1447261714
  NPD (past)

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1679594923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416457",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 E NORTHFIELD RD",
            "address_2": "SUITE 1-B",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394892",
            "telephone_number": "973-994-0880",
            "fax_number": "973-994-9408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMIDOWICH",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "MD, F.A.C.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA03396800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3014801",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Naica Dejean
• John J Della Penna, LPC
• Danielle Demarco
• Irena Lisa Demario, D.O.
• Alan Dembner, M.D.
• Dental Associates of Livingston LLC
• Dentistry With a Smile, Inc.
• Dentistry With a Smile, Inc.
• Dermatology and Laser Center of Northern New Jersey LLC
• Shrey Desai, M.D.

• Cardiovascular Disease Physician in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Cardiovascular Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; 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.