Active NPIIndividual providerSole proprietor

Dr. Robert R Demeo, MD

Specialist in Staten Island, New York

NPI Number1043220262
Practice location
522 Tysens Ln, Staten Island, NY 10306-4241
Fax
718-668-1468
Last updated
July 9, 2007

Robert Rudolph Demeo is a Specialist based in Staten Island, NY. Robert Rudolph Demeo practices in Staten Island, NY and has the professional credentials of MD. The NPI Number for Robert Rudolph Demeo is 1043220262 and holds a License No. 121217 (NY). The current practice location address for Robert Rudolph Demeo is 522 Tysens Ln, Staten Island, NY 10306-4241 and can be reached out via phone at 718-667-2156 and via fax at 718-668-1468.

Provider Profile Details

NPI Number
1043220262
Provider Name
Robert Rudolph Demeo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
522 Tysens Ln, Staten Island, NY 10306-4241
Phone Number
718-667-2156
Fax Number
718-668-1468
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
Yes
Provider Enumeration Date
August 9, 2006
Last Update Date
July 9, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
522 Tysens Ln
Staten Island, NY 10306-4241
Zip
10306-4241
Phone Number
718-667-2156
Fax Number
718-668-1468
Staten Island, NY 10306Get directions →

Provider Business Mailing Address Details

Address
522 Tysens Ln
Staten Island, NY 10306-4241
City
Staten Island
State
NY
Zip
10306-4241
Phone Number
718-667-2156
Fax Number
718-668-1468

License Information

License Number
121217
License State
NY
Taxonomy
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Robert R Demeo, MD?

The NPI number of Dr. Robert R Demeo, MD is 1043220262. It was assigned on August 9, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Robert R Demeo, MD?

Dr. Robert R Demeo, MD is registered under the primary taxonomy Specialist (code 174400000X), licensed in NY under license number 121217.

Where does Dr. Robert R Demeo, MD practice?

The practice location is 522 Tysens Ln, Staten Island, NY 10306-4241. The office can be reached at 718-667-2156 (phone) or 718-668-1468 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043220262 directly on the NPPES registry website.

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