Active NPI
Michael Joseph Demaria, M.D.
- Gastroenterology Physician
- Glen Cove, NY
National Provider Identifier
1790780724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 160671
- Practice address
- 10 Medical PLZ
Suite 303
Glen Cove, NY 11542-2101 - Phone
- (516) 676-0239
- Fax
- (516) 676-0956
- NPI assigned
- Jun 16, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 160671 | NY | Primary |
Addresses
Primary practice location
10 Medical PLZ
Suite 303
Glen Cove, NY 11542-2101
Mailing address
10 Medical PLZ
Suite 303
Glen Cove, NY 11542-2101
Phone (516) 676-0239
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
619 Fulton Ave
Hempstead, NY 11550-4553
Phone (516) 572-1300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harmony Health Care Long Island | Current | Accepting new patients | |
| Harmony Health Care Long Island | Current | Accepting new patients | |
| Harmony Health Care Long Island | Current | Accepting new patients | |
| Sajid Khan MD PC | Past | Accepting new patients | |
| Elmont Community Health Center | Past | Accepting new patients |
Locations
101 S Bergen Pl
Freeport, NY 11520
Phone (516) 623-3600
135 Main St
Hempstead, NY 11550
Phone (516) 292-3111
619 Fulton Ave
Hempstead, NY 11550
Phone (516) 572-1300
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- michaeldemaria@nslijmedgr.allscriptsdirect.net
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.
-
- Federally Qualified Health Center (FQHC)
- Elmont, NY
- NPI 1336669670
-
- Federally Qualified Health Center (FQHC)
- North Baldwin, NY
- NPI 1205704319
-
- Federally Qualified Health Center (FQHC)
- Westbury, NY
- NPI 1215241302
-
- Clinic/Center
- Elmont, NY
- NPI 1467478362
-
- Internal Medicine Physician
- Glen Cove, NY
- NPI 1639428287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352419200000",
"number": "1790780724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 MEDICAL PLZ",
"address_2": "SUITE 303",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "115422101",
"telephone_number": "516-676-0239",
"fax_number": "516-676-0956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 MEDICAL PLZ",
"address_2": "SUITE 303",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "115422101",
"telephone_number": "516-676-0239",
"fax_number": "516-676-0956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMARIA",
"first_name": "MICHAEL",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-16",
"last_updated": "2012-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "160671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Cove, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; 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.