DR. PETER A. DEMARIA JR. (NPI# 1114107430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114107430 |
Entity Type | Individual |
Full Name | DR. PETER A. DEMARIA JR. |
Credential | M.D. |
Practice Address |
1700 N. Broad St. 2nd Floor Philadelphia PA 19121 |
Practice Telephone | 2152047276 |
Practice Fax Number | 2152045419 |
Mailing Telephone | 2152047276 |
Mailing Fax Number | 2152045419 |
Enumeration Date | 2007-11-05 |
Last Update Date | 2017-11-14 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD034505-E | PA | Allopathic & Osteopathic Physicians |
N | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
MD-034505-E | PA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | UPIN | FO1897 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
1810 Liacouras Walk, 5th Floor (66-09), Philadelphia, PA 191226026 | 2152047276 | 2152045419 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811230873 | Peter Joseph Demaria | Internal Medicine | 10 Center Drive Room B2l312, Bethesda, MD 20892-0001 | 2013-03-28 |
Street Address |
1700 N. BROAD ST. 2ND FLOOR |
City | PHILADELPHIA |
State | PA |
Zip Code | 19121 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356975445 | Shaun Shields | Specialist/Technologist | 1814 N. Broad Street, Philadelphia, PA 19121 | 2020-02-27 |
1225682503 | Ebony Qiana Morrison | Technician | 2202 Ridge Avenue, 2nd Floor Rm 203, Philadelphia, PA 19121 | 2019-07-25 |
1003398462 | Lyn Morrissa Meyerhoff | Specialist/Technologist | 1800 N. Broad Street, Philadelphia, PA 19121 | 2018-09-03 |
1356853576 | George E Kinsler | Pharmacist | 1941 N 24th St, Phila, PA 19121 | 2017-10-27 |
1205358652 | Perfect Love & Care LLC | Home Health | 1812 North Croskey Street, Philadelphia, PA 19121 | 2017-07-07 |
1427405257 | Rite-care Pharmacy Inc. | Pharmacy | 2213 Ridge Ave., Philadelphia, PA 19121 | 2016-05-23 |
1356735831 | Eguono Eduvie | Psychiatry & Neurology | 1700 N.broad St., 2nd Foor, Philadelphia, PA 19121 | 2015-03-24 |
1285986828 | Young Scholars Frederick Douglass Charter School | Local Education Agency (LEA) | 2118 W Norris St., Philadelphia, PA 19121 | 2012-10-05 |
1568764470 | Young Scholars Frederick Douglass Charter School | Local Education Agency (LEA) | 2118 W Norris St, Philadelphia, PA 19121 | 2010-11-29 |
1730408683 | Pamela Lewis | Registered Nurse | Serenity Court, 1221 N. 19th St., Philadelphia, PA 19121 | 2010-05-18 |
Find all providers in zip 19121 |
Taxonomy Code | 2084P0800X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Psychiatry |
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407499148 | Tower Drexel Academic Medical Group LLC | Psychiatry & Neurology | 160 E Erie Ave Fl 2, Philadelphia, PA 19134-1011 | 2019-10-25 |
1568956043 | Reid Thomas Alley | Psychiatry & Neurology | Albert Einstein Medical Center 5501 Old York Road, Philadelphia, PA 19141 | 2018-06-19 |
1073033874 | Sarah Miller | Psychiatry & Neurology | 100 E Lehigh Ave Ste 305b, Philadelphia, PA 19125-1012 | 2017-06-22 |
1659800175 | Michael William Pelekanos | Psychiatry & Neurology | 100 E. Lehigh Avenue Suite 305b, Philadelphia, PA 19125 | 2017-06-08 |
1063940187 | Travis J Dichoso | Psychiatry & Neurology | 100 E Lehigh Ave Suite 305b, Philadelphia, PA 19125 | 2017-06-02 |
1104354778 | Julian Camilo Artunduaga | Psychiatry & Neurology | 100 E Lehigh Ave Bldg Suit105, Philadelphia, PA 19125-1012 | 2017-05-26 |
1538691340 | Lea Fowler Hecht | Psychiatry & Neurology | 3207 Baring St, Apt. 2, Philadelphia, PA 19104-2510 | 2017-03-30 |
1962941021 | Whidbey Island Public Hospital District | Psychiatry & Neurology | 808 S Swanson St, Philadelphia, PA 19147-4330 | 2017-02-21 |
1811340482 | Katarzyna Liwski | Psychiatry & Neurology | 4641 Roosevelt Boulevard, E212, Drexel University College of Medicine Friends Hospital, Philadelphia, PA 19124 | 2016-07-19 |
1649620089 | Matthew Parker | Psychiatry & Neurology | 2040 Market St Apt 1121, Philadelphia, PA 19103-3369 | 2016-06-16 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19121 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.