Individual provider Active NPI

Michael Joseph Demasi, DNP, FNP-BC, APRN

  • Family Nurse Practitioner
  • Bridgeport, CT
National Provider Identifier
1750866778
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7857 Issued in CT
Practice address
725 Park Ave
Bridgeport, CT 06604-4619
Phone
(203) 916-0862
Fax
(888) 571-6304
NPI assigned
Sep 25, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 7857 CT Primary

Addresses

Primary practice location

725 Park Ave
Bridgeport, CT 06604-4619

Mailing address

725 Park Ave
Sage Healthcare Within Bridgeport Rescue Mission
Bridgeport, CT 06604-4619
Phone (203) 916-0862

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20181029001102 CT Practitioner - Nurse Practitioner 0941553507 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7857CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincents Urgent Care LLC CurrentSince Jan 1, 2023 Accepting new patients
St. Vincents Urgent Care LLC CurrentSince Jan 1, 2023 Accepting new patients

Locations

1055 Post Rd
Fairfield, CT 06824
Phone (203) 254-1055

7365 Main St
Ste 7
Stratford, CT 06614
Phone (203) 696-3505

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

Organizations & group practices 2

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": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1750866778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 PARK AVE",
            "address_2": "SAGE HEALTHCARE WITHIN BRIDGEPORT RESCUE MISSION",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066044619",
            "telephone_number": "203-916-0862",
            "fax_number": "888-571-6304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 PARK AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066044619",
            "telephone_number": "203-916-0862",
            "fax_number": "888-571-6304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMASI",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC, APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-25",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "7857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

Verify at the official NPI Registry.