Active NPI
Demetrius Karanzalis, D.O.
- Anesthesiology Physician
- Marlton, NJ
National Provider Identifier
1972803864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 25MB09488900
- Practice address
- 102 Centre Blvd
Marlton, NJ 08053-4129 - Phone
- (856) 988-6260
- NPI assigned
- Oct 26, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 25MB09488900 | NJ | Primary |
Addresses
Primary practice location
102 Centre Blvd
Marlton, NJ 08053-4129
Mailing address
102 Centre Blvd
Marlton, NJ 08053-4129
Phone (856) 988-6260
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403481600000",
"number": "1972803864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 CENTRE BLVD",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080534129",
"telephone_number": "856-988-6260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 CENTRE BLVD",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080534129",
"telephone_number": "856-988-6260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARANZALIS",
"first_name": "DEMETRIUS",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-26",
"last_updated": "2014-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "25MB09488900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marlton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.