Organization Active NPI

Spero E Demoleas

  • Foot & Ankle Surgery Podiatrist
  • Ardsley, NY
National Provider Identifier
1891972808
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N0043801 Issued in NY
Legal business name
SPERO E DEMOLEAS
Practice address
631 Saw Mill River Rd
Ste 1S
Ardsley, NY 10502-2146
Phone
(914) 693-8479
Fax
(914) 693-8678
NPI assigned
Jan 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Authorized official

Name
Spero E Demoleas, D.P.M.NPI 1295776755
Title
Owner
Phone
(914) 693-8479

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X N0043801 NY Primary

Addresses

Primary practice location

631 Saw Mill River Rd
Ste 1S
Ardsley, NY 10502-2146

Mailing address

631 Saw Mill River Rd
Ste 1S
Ardsley, NY 10502-2146
Phone (914) 693-8479

Other names 1

  • Ardsley Podiatry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930045765 NY DME Supplier - Physician - Podiatry 1658574124 Practice locations: Ardsley, NY

National Provider Directory

National Provider Directory

Locations

631 Saw Mill River Rd
Ste 1S
Ardsley, NY 10502
Phone (914) 693-8479

631 Saw Mill River Rd
Ste 1
Ardsley, NY 10502
Phone (914) 693-8479

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1891972808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 SAW MILL RIVER RD",
            "address_2": "STE 1S",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105022146",
            "telephone_number": "914-693-8479",
            "fax_number": "914-693-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 SAW MILL RIVER RD",
            "address_2": "STE 1S",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105022146",
            "telephone_number": "914-693-8479",
            "fax_number": "914-693-8678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPERO E DEMOLEAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "DEMOLEAS",
        "authorized_official_first_name": "SPERO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-693-8479",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N0043801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ardsley Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ardsley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.