NPIMap

Organization Active NPI

Stefanacci & Demuro,DO's

  • Family Medicine Physician
  • Passaic, NJ
National Provider Identifier
1982892808
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MB037972 Issued in NJ
Legal business name
STEFANACCI & DEMURO,DO'S
Practice address
338 Chestnut St
Passaic, NJ 07055-3158
Phone
(973) 471-9494
Fax
(973) 777-8464
NPI assigned
Oct 4, 2007
Last updated
Oct 4, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Authorized official

Name
Dr. Paul Demuro, DONPI 1992883235
Title
Partner
Phone
(973) 471-9494

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MB037972 NJ Primary

Addresses

Primary practice location

338 Chestnut St
Passaic, NJ 07055-3158

Mailing address

338 Chestnut St
Passaic, NJ 07055-3158
Phone (973) 471-9494

Other identifiers 2

IdentifierTypeStateIssuer
1649001MedicaidNJ
ST527716OtherNJMEDICARE GROUP NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1982892808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 CHESTNUT ST",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070553158",
            "telephone_number": "973-471-9494",
            "fax_number": "973-777-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 CHESTNUT ST",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070553158",
            "telephone_number": "973-471-9494",
            "fax_number": "973-777-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEFANACCI & DEMURO,DO'S",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "DEMURO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "973-471-9494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB037972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649001",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "ST527716",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Passaic, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.