Active NPIIndividual provider

Demetrios K Mavroidis, MD

Thoracic Surgery (Cardiothoracic Vascular Surgery) in Pomona, New Jersey

NPI Number1184602914
Practice location
65 W Jimmie Leeds RD, Pomona, NJ 08240-9102
Fax
—
Last updated
October 23, 2024

Demetrios K. Mavroidis is a Thoracic Surgery (Cardiothoracic Vascular Surgery) based in Pomona, NJ. Demetrios K. Mavroidis practices in Pomona, NJ and has the professional credentials of MD. The NPI Number for Demetrios K. Mavroidis is 1184602914 and holds a License No. 9145 (NV). The current practice location address for Demetrios K. Mavroidis is 65 W Jimmie Leeds RD, Pomona, NJ 08240-9102 and can be reached out via phone at 609-652-1000.

Provider Profile Details

NPI Number
1184602914
Provider Name
Demetrios K. Mavroidis
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
65 W Jimmie Leeds RD, Pomona, NJ 08240-9102
Phone Number
609-652-1000
Sole Proprietor
No
Provider Enumeration Date
January 3, 2006
Last Update Date
October 23, 2024
Certification Date
October 23, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
65 W Jimmie Leeds RD
Pomona, NJ 08240-9102
City
Pomona
Zip
08240-9102
Phone Number
609-652-1000
Pomona, NJ 08240Get directions →

Provider Business Mailing Address Details

Address
65 W Jimmie Leeds RD
Pomona, NJ 08240-9102
City
Pomona
State
NJ
Zip
08240-9102
Phone Number
609-652-1000

License Information

License Number (1)
9145
License State (1)
NV
License Number (2)
25IA12362700
License State (2)
NJ
Taxonomy (2)
Thoracic Surgery (Cardiothoracic Vascular Surgery) · 208G00000X · Primary

Legacy Identifiers

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

Other Thoracic Surgery (Cardiothoracic Vascular Surgery) providers near Pomona, NJ

View all Thoracic Surgery (Cardiothoracic Vascular Surgery) providers in Pomona →

Frequently Asked Questions

What is the NPI number of Demetrios K Mavroidis, MD?

The NPI number of Demetrios K Mavroidis, MD is 1184602914. It was assigned on January 3, 2006 and is currently active in the NPPES registry.

What is the specialty of Demetrios K Mavroidis, MD?

Demetrios K Mavroidis, MD is registered under the primary taxonomy Thoracic Surgery (Cardiothoracic Vascular Surgery) (code 208G00000X), licensed in NV under license number 9145.

Where does Demetrios K Mavroidis, MD practice?

The practice location is 65 W Jimmie Leeds RD, Pomona, NJ 08240-9102. The office can be reached at 609-652-1000 (phone).

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 1184602914 directly on the NPPES registry website.

Browse related providers