Active NPI
Demetrios Bayiokos, D.M.D.
- Dentist
- Fort Lee, NJ
National Provider Identifier
1881815223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DI 18606
- Practice address
- 415 West St
Fort Lee, NJ 07024-5010 - Phone
- (201) 944-8305
- Fax
- (201) 944-9491
- NPI assigned
- May 2, 2007
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DI 18606 | NJ | Primary |
Addresses
Primary practice location
415 West St
Fort Lee, NJ 07024-5010
Mailing address
415 West St
Fort Lee, NJ 07024-5010
Phone (201) 944-8305
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7037708 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI 18606 | NJ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1881815223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 WEST ST",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070245010",
"telephone_number": "201-944-8305",
"fax_number": "201-944-9491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 WEST ST",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070245010",
"telephone_number": "201-944-8305",
"fax_number": "201-944-9491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAYIOKOS",
"first_name": "DEMETRIOS",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "DI 18606",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7037708",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Lee, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.