Active NPIIndividual providerSole proprietor

Dr. Spero E Demoleas, DPM

Podiatrist, Foot & Ankle Surgery in Old Tappan, New Jersey

NPI Number1295776755
Practice location
215 Old Tappan RD, Old Tappan, NJ 07675-7000
Fax
201-930-1823
Last updated
December 2, 2011

Spero Evan Demoleas is a Podiatrist, Foot & Ankle Surgery based in Old Tappan, NJ. Spero Evan Demoleas practices in Old Tappan, NJ and has the professional credentials of DPM. The NPI Number for Spero Evan Demoleas is 1295776755 and holds a License No. MD01964 (NJ). The current practice location address for Spero Evan Demoleas is 215 Old Tappan RD, Old Tappan, NJ 07675-7000 and can be reached out via phone at 201-930-9090 and via fax at 201-930-1823.

Provider Profile Details

NPI Number
1295776755
Provider Name
Spero Evan Demoleas
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
215 Old Tappan RD, Old Tappan, NJ 07675-7000
Phone Number
201-930-9090
Fax Number
201-930-1823
Primary Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X
Sole Proprietor
Yes
Provider Enumeration Date
June 8, 2006
Last Update Date
December 2, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
215 Old Tappan RD
Old Tappan, NJ 07675-7000
Zip
07675-7000
Phone Number
201-930-9090
Fax Number
201-930-1823
Old Tappan, NJ 07675Get directions →

Provider Business Mailing Address Details

Address
215 Old Tappan RD
Old Tappan, NJ 07675-7000
City
Old Tappan
State
NJ
Zip
07675-7000
Phone Number
201-930-9090
Fax Number
201-930-1823

License Information

License Number (1)
MD01964
License State (1)
NJ
Taxonomy (1)
Podiatrist, Foot & Ankle Surgery · 213ES0103X · Primary
License Number (2)
N004380
License State (2)
NY
Taxonomy (2)
Podiatrist, Foot & Ankle Surgery · 213ES0103X

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. Spero E Demoleas, DPM?

The NPI number of Dr. Spero E Demoleas, DPM is 1295776755. It was assigned on June 8, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Spero E Demoleas, DPM?

Dr. Spero E Demoleas, DPM is registered under the primary taxonomy Podiatrist, Foot & Ankle Surgery (code 213ES0103X), licensed in NJ under license number MD01964.

Where does Dr. Spero E Demoleas, DPM practice?

The practice location is 215 Old Tappan RD, Old Tappan, NJ 07675-7000. The office can be reached at 201-930-9090 (phone) or 201-930-1823 (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 1295776755 directly on the NPPES registry website.

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