Active NPI
Bethany Demarco, DPM
- Foot & Ankle Surgery Podiatrist
- Poughkeepsie, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- N007332
- Practice address
- 696 Dutchess Tpke Ste M
Poughkeepsie, NY 12603-6429 - Phone
- (845) 454-0630
- NPI assigned
- Jun 25, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | N007332 | NY | Primary |
Addresses
Primary practice location
696 Dutchess Tpke Ste M
Poughkeepsie, NY 12603-6429
Mailing address
243 North Rd Ste 304
Poughkeepsie, NY 12601-1173
Phone (845) 437-5060
Other practice location 1
969 Main St
Fishkill, NY 12524-1789
Phone (845) 454-0637
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A400322400 | Other | NM | MEDICARE |
| 07733448 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sun River Health Inc.
Practice addresses (Care Compare)
1037 Main St
Peekskill, NY 10566-2913
Phone (914) 734-8800
1200 Brown St
Peekskill, NY 10566-2913
696 Dutchess Tpke
Poughkeepsie, NY 12603-6444
Phone (845) 454-8200
Hospital & facility affiliations
- Vassar Brothers Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 44 |
| Removal of skin lesions | 17 |
| Removal of nail tissue | 328 |
| Removal or shaving of skin growth | 51 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N007332 | NY | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Medical Group of the Hudson Valley, P.C. | Foot & Ankle Surgery | Current | Accepting new patients |
| Premier Medical Group of the Hudson Valley P.C. | Current | Accepting new patients | |
| Sun River Health Inc. | Past | Accepting new patients |
Locations
243 North Rd
Ste 304
Poughkeepsie, NY 12601
Phone (845) 451-7251
696 Dutchess Tpke
Poughkeepsie, NY 12603
Phone (845) 454-8200
696 Dutchess Tpke
Ste M
Poughkeepsie, NY 12603
Phone (845) 451-7266
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- bdemarco@premiermedicalhv.medentdirect.com
Organizations & group practices 3
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.
-
- Urology Physician
- Poughkeepsie, NY
- NPI 1255437166
-
- Podiatrist
- Wappingers Falls, NY
- NPI 1467290130
Foot & Ankle Surgery
-
- Federally Qualified Health Center (FQHC)
- Peekskill, NY
- NPI 1619969458
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Poughkeepsie, NY
- NPI 1740233899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705276800000",
"number": "1780201731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "243 NORTH RD STE 304",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126011173",
"telephone_number": "845-437-5060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "696 DUTCHESS TPKE STE M",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126036429",
"telephone_number": "845-454-0630"
}
],
"practiceLocations": [
{
"address_1": "969 Main St",
"address_purpose": "LOCATION",
"city": "Fishkill",
"state": "NY",
"postal_code": "125241789",
"country_code": "US",
"telephone_number": "845-454-0637",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEMARCO",
"first_name": "BETHANY",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-25",
"last_updated": "2024-01-15",
"certification_date": "2023-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NY",
"license": "N007332",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "A400322400",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07733448",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.