Individual provider Active NPI

Paul Demuro, DO

  • Family Medicine Physician
  • Passaic, NJ
National Provider Identifier
1992883235
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MB037972 Issued in NJ
Practice address
338 Chestnut St
Passaic, NJ 07055
Phone
(973) 471-9494
Fax
(973) 778-4649
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 1

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

Addresses

Primary practice location

338 Chestnut St
Passaic, NJ 07055

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
1649001MedicaidNJ

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
I20081030000087 NJ Practitioner - Family PracticePractitioner - Geriatric Medicine 4284793605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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

Hospital & facility affiliations

  • Adoration Home Health Home health agency, Clifton, NJ, CCN 317017
  • Valley Home Care Inc. Home health agency, Paramus, NJ, CCN 317008
  • St Mary'S General Hospital Hospital, Passaic, NJ, CCN 310006
  • St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019
  • Complete Care at Chestnut Hill LLC Nursing home, Passaic, NJ, CCN 315085

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB037972NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Demuro & Associates LLC CurrentSince Jul 1, 2008 Accepting new patients
Complete Care at Chestnut Hill LLC Past Accepting new patients

Locations

360 Chestnut St
Passaic, NJ 07055
Phone (973) 777-7800

338 Chestnut St
Ste 1
Passaic, NJ 07055
Phone (973) 777-7800

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

Organizations & group practices 2

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1992883235",
    "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": "07055",
            "telephone_number": "973-471-9494",
            "fax_number": "973-778-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 CHESTNUT ST",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "07055",
            "telephone_number": "973-471-9494",
            "fax_number": "973-778-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMURO",
        "first_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "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"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Passaic, NJ

Sources for this page

Verify at the official NPI Registry.