Active NPI
Demetri J Merianos, MD
- Pediatric Surgery Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- License
- 271264
- Practice address
- 525 E 68TH St
New York, NY 10065-4870 - Phone
- (215) 738-0423
- NPI assigned
- Jan 4, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Surgery Physician | 2086S0120X | C54566 | CA | |
| Pediatric Surgery Physician | 2086S0120X | 271264 | NY | Primary |
Addresses
Primary practice location
525 E 68TH St
New York, NY 10065-4870
Mailing address
525 E 68TH St # 209
New York, NY 10065-4870
Phone (646) 962-2599
Other practice location 1
506 6th St
Brooklyn, NY 11215-3609
Phone (718) 780-5856
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Rutgers New Jersey Medical School, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
66 W Gilbert St
Tinton Falls, NJ 07701-4948
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C54566 | CA | MD | Pediatric Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Affiliate Group of New York PC | Current | Accepting new patients | |
| New York Queens Medicine and Surgery, P.C. | Current | Accepting new patients | |
| Downtown Bronx Medical Associates PC | Current | Accepting new patients | |
| New York Queens Medicine and Surgery, P.C. | Current | Accepting new patients | |
| Weill Cornell University Medical College | Past | Accepting new patients | |
| Weill Medical College of Cornell | Past | Accepting new patients | |
| Cornell University Medical College | Past | Accepting new patients | |
| The New York and Presbyterian Hospital | Past | Accepting new patients |
Locations
234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874
506 6th St
Brooklyn, NY 11215
Phone (718) 780-3279
121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604
2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354
5634 Main St
Fl 1
Flushing, NY 11355
Phone (718) 670-2468
16303 Horace Harding Expy
Fl 2
Fresh Meadows, NY 11365
Phone (718) 888-9121
525 E 68th St
#209
New York, NY 10065
Phone (646) 962-2599
506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000
525 E 68th St
New York, NY 10065
Phone (212) 746-2846
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Interoperability endpoints
- dmerianos840267@nychhc.direct-ci.com
- dem9110@direct.nyp.org
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 9
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.
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- Emergency Medical Services (Emergency Medicine) Physician
- Bronx, NY
- NPI 1689618407
-
- Pediatrics Physician
- Fresh Meadows, NY
- NPI 1003114851
-
- Registered Dietitian
- New York, NY
- NPI 1013375526
-
- Urology Physician
- New Brunswick, NJ
- NPI 1710012604
-
- Multi-Specialty Clinic/Center
- Flushing, NY
- NPI 1740792233
-
- Psychologist
- White Plains, NY
- NPI 1528084910
-
- General Acute Care Hospital
- New York, NY
- NPI 1952332801
-
- Women's Hospital
- New York, NY
- NPI 1538141536
-
- Pediatrics Physician
- New York, NY
- NPI 1629018205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681862400000",
"number": "1902953854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 E 68TH ST # 209",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100654870",
"telephone_number": "646-962-2599",
"fax_number": "212-746-4350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 E 68TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100654870",
"telephone_number": "215-738-0423"
}
],
"practiceLocations": [
{
"address_1": "506 6th St",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112153609",
"country_code": "US",
"telephone_number": "718-780-5856",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MERIANOS",
"first_name": "DEMETRI",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-04",
"last_updated": "2023-04-19",
"certification_date": "2023-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "CA",
"license": "C54566",
"primary": false
},
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "NY",
"license": "271264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.