Individual provider Active NPI

Demetrios Milios

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1679934343
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F403842 Issued in NY
Practice address
1727 Amsterdam Ave
New York, NY 10031-4611
Phone
(212) 694-9200
Fax
(212) 694-0880
NPI assigned
Mar 9, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 340494 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F403842 NY Primary

Addresses

Primary practice location

1727 Amsterdam Ave
New York, NY 10031-4611

Mailing address

Emma Bowen Community Clinic
1727 Amsterdam Ave
New York, NY 10031
Phone (212) 694-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161012000022 NY Practitioner - Nurse Practitioner 2961790704 Reassigns benefits to 1 organization
I20221020000027 NJ Practitioner - Nurse Practitioner 2961790704 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Upper Manhattan Mental Health Center, Inc.Group PAC ID 5698669729, 10 clinicians

Practice addresses (Care Compare)

1727 Amsterdam Ave
New York, NY 10031-4611
Phone 2126949200429

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F403842NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Garden State Bilingual Psychiatry LLC Psychiatric/Mental Health Current Accepting new patients
Counseling Center at Fair Lawn, LLC CurrentSince Nov 18, 2022 Accepting new patients
Counseling Center at Freehold LLC CurrentSince Nov 18, 2022 Accepting new patients
Garden State Bilingual Psychiatry LLC Psychiatric/Mental Health Current Accepting new patients

Locations

2328 10th Ave N
Ste 302
Lake Worth Beach, FL 33461
Phone (561) 318-4411

2328 10th Ave N
Ste 300
Lake Worth Beach, FL 33461
Phone (561) 318-4476

16-01 Broadway
Fair Lawn, NJ 07410
Phone (201) 389-5326

4345 US Highway 9
Freehold, NJ 07728
Phone (732) 414-3601

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1679934343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EMMA BOWEN COMMUNITY CLINIC",
            "address_2": "1727 AMSTERDAM AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10031",
            "telephone_number": "212-694-9200",
            "fax_number": "212-694-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 AMSTERDAM AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100314611",
            "telephone_number": "212-694-9200",
            "fax_number": "212-694-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILIOS",
        "first_name": "DEMETRIOS",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-09",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "340494",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F403842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.