Active NPI
Bassem M Demian, DPM
- Podiatrist
- Brick, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 25MD00215100
- Practice address
- 292 Herbertsville Rd
Brick, NJ 08724-1734 - Phone
- (732) 840-8989
- NPI assigned
- Jan 23, 2006
- Last updated
- Jan 14, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 25MD00215100 | NJ | Primary |
| Foot Surgery Podiatrist | 213ES0131X | 25MD00215100 | NJ |
Addresses
Primary practice location
292 Herbertsville Rd
Brick, NJ 08724-1734
Mailing address
292 Herbertsville Rd
Brick, NJ 08724-1734
Phone (732) 840-8989
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5549604 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Podiatric Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
235 NE 19TH Dr
Okeechobee, FL 34972-1933
Phone (863) 357-1166
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.93 of 100
- Quality
- 57.02
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 41 |
| Removal of nail tissue | 1630 |
| Removal or shaving of skin growth | 1133 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MD00215100 | NJ | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brick Foot & Ankle Center, PC | Podiatrist | Current | Accepting new patients |
| Adnan Shariff, Inc | Podiatrist | Current | Accepting new patients |
| Adnan Shariff, Inc | Podiatrist | Current | Accepting new patients |
| Adnan Shariff DPM PLLC | Past | Accepting new patients |
Locations
7050 W Palmetto Park Rd
Ste 18
Boca Raton, FL 33433
Phone (561) 391-8366
1008 W Sagamore Ave
Clewiston, FL 33440
Phone (863) 983-1103
235 NE 19th Dr
Okeechobee, FL 34972
Phone (863) 357-1166
292 Herbertsville Rd
Brick, NJ 08724
Phone (732) 840-8989
Interoperability endpoints
- bassem.demian.1@19322.direct.athenahealth.com
- https://api.platform.athenahealth.com/19322/brand/1/csg/1/fhir/r4
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Foot & Ankle Surgery Podiatrist
- Brick, NJ
- NPI 1316475973
-
- Foot & Ankle Surgery Podiatrist
- Okeechobbee, FL
- NPI 1184813701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452729600000",
"number": "1710957733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "292 HERBERTSVILLE RD",
"city": "BRICK",
"state": "NJ",
"postal_code": "087241734",
"telephone_number": "732-840-8989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "292 HERBERTSVILLE RD",
"city": "BRICK",
"state": "NJ",
"postal_code": "087241734",
"telephone_number": "732-840-8989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMIAN",
"first_name": "BASSEM",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-23",
"last_updated": "2016-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NJ",
"license": "25MD00215100",
"primary": true
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "NJ",
"license": "25MD00215100",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5549604",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.
- 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.