Elizabeth G Demicco, MD, PHD.

Primary specialty

Anatomic Pathology PhysicianTaxonomy code 207ZP0101X

License

264869 Issued in NY

Practice address

1 Gustave L Levy PL
Department of Pathology
New York, NY 10029-6500

Phone

(857) 205-5960

NPI assigned

Jun 15, 2007

Last updated

Aug 5, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344124800000",
    "number": "1902001514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GUSTAVE L LEVY PL",
            "address_2": "DEPARTMENT OF PATHOLOGY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296500",
            "telephone_number": "857-205-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GUSTAVE L LEVY PL",
            "address_2": "DEPARTMENT OF PATHOLOGY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296500",
            "telephone_number": "857-205-5960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMICCO",
        "first_name": "ELIZABETH",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD, PHD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2012-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "MA",
            "license": "242314",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "TX",
            "license": "N5648",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "NY",
            "license": "264869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Maria Demetriades, M.D., PH.D.
• Constantine Demetriadis, LAT, ATC
• Victor Demetrio, DO
• Nicholas Demetriou, ANP
• Susan Marie Demetropolis, M.A.
• Annette Demichele, PH.D., J.D.
• Kristina Lynn Demilt, AGACNP-BC
• Ingrid Deming, PA-C
• Mary Deminie, L.AC.
• Emily Rose Demino

• Anatomic Pathology Physician in New York, NY
• Providers in New York, NY by specialty
• Anatomic Pathology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.