James Steven Demer, MD
Individual provider Active NPI Psychiatry Physician · Alexandria Bay, NY
NPI 1891779849 · NPPES record last updated Jan 15, 2016
Key facts
- NPI
- 1891779849
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 233591-1 (NY)
- Practice address
- 4 Fuller St
Alexandria Bay, NY 13607-1316 - Phone
- (315) 482-2511
- Fax
- (315) 482-5553
- NPI assigned
- Dec 2, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Other, 1999
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Empire State Psychiatric Medicine PLLC
Practice addresses (Care Compare)
315 Madison Ave
RM 2000
New York, NY 10017-5416
Phone (646) 661-5225
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070607000276 | NY | Practitioner - Psychiatry | 0042318578 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 233591-1 | NY | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychiatry Faculty Practice, Inc. | Psychiatry | Current |
Accepting new patients |
| North Medical PC | Current | Accepting new patients | |
| Empire State Psychiatric Medicine PLLC | Psychiatry | Current |
Accepting new patients |
| St Josephs Medical PC | Current |
Accepting new patients | |
| Liberty Resources, Inc. | Current |
Accepting new patients | |
| Liberty Resources, Inc. | Current |
Accepting new patients | |
| St Josephs Hospital Health Center | Current |
Accepting new patients | |
| St Joseph'S Hospital Health Center | Psychiatry | Current |
Accepting new patients |
| Liberty Resources Inc. | Current | Accepting new patients |
Locations
4 Fuller St
Alexandria Bay, NY 13607
Phone (315) 482-1277
5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592
315 Madison Ave
Rm 2000
New York, NY 10017
Phone (646) 661-5225
713 Harrison St
Bldg 3
Syracuse, NY 13210
Phone (315) 464-3265
1045 James St
Syracuse, NY 13203
Phone (315) 425-1004
301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111
719 Harrison St
Syracuse, NY 13210
Phone (315) 464-3265
301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200
Interoperability endpoints
- sohomd.jamesdemer@157389.advancedmd-direct.com
- jdemer13298@direct.upstate.edu
- james.demer.1@31644.direct.athenahealth.com
- jdemer@hiemail.healtheconnections.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 233591-1 | NY | Yes |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 233591-1 | NY |
Addresses
Primary practice location
4 Fuller St
Alexandria Bay, NY 13607-1316
Mailing address
4 Fuller St
Alexandria Bay, NY 13607-1316
Phone (315) 482-2511
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01648605 | Medicaid | NY |
Other providers in Alexandria Bay, NY
- Emily Chase
- Joseph D Colello
- Richard F Corcoran
- Creative Optical, LLC
- Nelly Johana Davis-Rodriguez
- Erica Denner
- Patricia Desjarlais
- Julia Ann Erck
- Gloria Ann Fisher
- Kaitlin M. Ford
All providers in Alexandria Bay, NY · Psychiatry Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.