Individual provider Active NPI

Mark A Demasi, DO

  • Obstetrics & Gynecology Physician
  • Somers Point, NJ
National Provider Identifier
1922080340
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MB05372900 Issued in NJ
Practice address
501 Bay Ave Ste 202
Somers Point, NJ 08244-2554
Phone
(609) 904-2173
Fax
(609) 904-6185
NPI assigned
Nov 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MB05372900 NJ Primary

Addresses

Primary practice location

501 Bay Ave Ste 202
Somers Point, NJ 08244-2554

Mailing address

501 Bay Ave Ste 202
Somers Point, NJ 08244-2554
Phone (609) 904-2173

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050520000548 NJ Practitioner - Obstetrics/Gynecology 9931140290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MB05372900NJMDObstetrics & Gynecology Physician
353NEMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Atlantic Pain Specialists LLC CurrentSince Dec 11, 2023 Accepting new patients
Trinitas Physicians Practice, LLC Obstetrics & Gynecology CurrentSince Oct 1, 2018 Accepting new patients
Atlantic Women'S Healthcare P.C. PastSince Nov 1, 2004 Accepting new patients

Locations

225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204

390 N Broadway
Ste 500
Pennsville, NJ 08070
Phone (856) 344-9090

2466 E Chestnut Ave
Ste 2
Vineland, NJ 08361
Phone (856) 896-2814

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1132444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1922080340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 BAY AVE STE 202",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442554",
            "telephone_number": "609-904-2173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BAY AVE STE 202",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442554",
            "telephone_number": "609-904-2173",
            "fax_number": "609-904-6185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMASI",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-20",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MB05372900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers Point, NJ

Sources for this page

Verify at the official NPI Registry.