DR. SUSAN PENG DEMAREST (NPI# 1558680504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558680504 |
| Entity Type | Individual |
| Full Name | DR. SUSAN PENG DEMAREST |
| Credential | MD |
| Practice Address |
624 Mcclellan St Suite G06 Schenectady NY 12304-1020 |
| Practice Telephone | 5186128600 |
| Practice Fax Number | 5186128601 |
| Mailing Telephone | 5186128600 |
| Mailing Fax Number | 5186128601 |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2015-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
277624 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
624 MCCLELLAN ST SUITE G06 |
| City | SCHENECTADY |
| State | NY |
| Zip Code | 12304-1020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982656286 | Diana L Page | Otolaryngology | 624 Mcclellan St, Suite G01, Schenectady, NY 12304-1020 | 2006-05-16 |
| 1457807570 | Olamide Akhumere | Nurse Practitioner | 624 Mcclellan St, Suite 101, Schenectady, NY 12304-1020 | 2016-08-29 |
| 1366892374 | Michael Ferro | Family Medicine | 624 Mcclellan St, Suite 101, Schenectady, NY 12304-1020 | 2016-06-21 |
| 1871943746 | Jeremy Sawh | Family Medicine | 624 Mcclellan St, Suite 101, Schenectady, NY 12304-1020 | 2016-06-21 |
| 1083064943 | Innesa Sarkisova | Family Medicine | 624 Mcclellan St, Suite 101, Schenectady, NY 12304-1020 | 2016-06-21 |
| 1598115446 | Sushma Prathipati | Family Medicine | 624 Mcclellan St, Suite 101, Schenectady, NY 12304-1020 | 2016-06-21 |
| 1134509169 | Lauren Sequeira | Student in an Organized Health Care Education/Training Program | 624 Mcclellan St, Suite 101, Schenectady, NY 12304-1020 | 2015-06-04 |
| 1114307147 | Natalia Todd | Student in an Organized Health Care Education/Training Program | 624 Mcclellan St, Suite 101, Schenectady, NY 12304-1020 | 2015-06-04 |
| 1427438746 | Imma Forestal | Student in an Organized Health Care Education/Training Program | 624 Mcclellan St, Suite 101, Schenectady, NY 12304-1020 | 2015-06-02 |
| 1275913592 | Isidro Borboa-orduno | Student in an Organized Health Care Education/Training Program | 624 Mcclellan St, Suite 101, Schenectady, NY 12304-1020 | 2015-06-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780173682 | Aminah Alia Roberts | Registered Nurse | 200 Hillcrestave, Schenectady, NY 12304 | 2018-05-07 |
| 1871046870 | Katie Tonkin | Dentist | 445 Balltown Rd Ste 2, Schenectady, NY 12304 | 2016-07-27 |
| 1508226655 | Karen Verret | Specialist | 230 Oregon Ave, Schenectady, NY 12304 | 2016-03-02 |
| 1104161850 | Northeast Parent and Child Society | Local Education Agency (LEA) | 327 Abbottsford Road, Schenectady, NY 12304 | 2012-12-06 |
| 1316207061 | Amanda C Fennicks | Licensed Practical Nurse | 1743 Hamburg St, Schenectady, NY 12304 | 2012-05-29 |
| 1639445232 | Lisa Marie Langer | Pharmacist | 2037 State Street, Schenectady, NY 12304 | 2012-03-28 |
| 1487922167 | Mary Ellen B Nagel | Registered Nurse | 1821 Hamburg St, Schenectady, NY 12304 | 2011-12-08 |
| 1699084624 | Paula Frances Williams | Speech-Language Pathologist | 2566 Balltown Road, Schenectady, NY 12304 | 2010-09-24 |
| 1558547133 | Fraterrigo Eye Physicians &surgeons, Pllc | Ophthalmology | 700 Mcclellan Street, St. Clare's Medical Arts Building, Schenectady, NY 12304 | 2008-01-14 |
| 1104022730 | William T. Tirone | Dentist | 600 Mcclellan Street, Schenectady, NY 12304 | 2007-06-21 |
| Find all providers in zip 12304 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467735738 | Community Care Physicians, PC | Internal Medicine | 2125 River Rd, Suite 303, Schenectady, NY 12309 | 2011-09-23 |
| 1922388057 | Jalaja Joseph | Internal Medicine | 2125 River Rd, Suite 303, Schenectady, NY 12309-1135 | 2011-08-20 |
| 1588679294 | Sandra Taccad-reyes | Internal Medicine | 2125 River Rd, Suite 303, Schenectady, NY 12309-1135 | 2006-07-30 |
| 1902811615 | Shannon Comley Sood | Internal Medicine | 2125 River Rd, Suite 303, Schenectady, NY 12309-1135 | 2006-07-30 |
| 1811910425 | Philip John Mika | Internal Medicine | 2125 River Rd, Suite 303, Schenectady, NY 12309-1135 | 2006-07-25 |
| 1063414472 | James Desemone | Internal Medicine | 1101 Nott St, Schenectady, NY 12308-2425 | 2005-08-15 |
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| 1689271629 | Cecelia Health, Inc. | Internal Medicine | 355 Lexington Ave # 12f, New York, NY 10017-6603 | 2020-10-02 |
| 1679199608 | Mount Sinai School of Medicine | Internal Medicine | 2209 Merrick Rd Ste 100, Merrick, NY 11566-4770 | 2020-06-25 |
| 1033677810 | Sarah Fishman Md, Phd PC | Internal Medicine | 121 E 60th St Apt 3b, New York, NY 10022-1164 | 2019-03-11 |
| 1861969404 | Mt Endocrinology PC | Internal Medicine | 984 N Broadway Ste 305, Yonkers, NY 10701-1308 | 2018-11-01 |
| 1306389523 | Dina Zaqqa | Internal Medicine | 76 Adams Rd, Saratoga Springs, NY 12866-9008 | 2016-11-19 |
| 1740731876 | Beth Anne Piper | Internal Medicine | 104 Union Ave Ste 801, Syracuse, NY 13203-1844 | 2016-10-24 |
| 1023487394 | Michael Berelowitz | Internal Medicine | 415 E 37th St Apt 36c, New York, NY 10016-3261 | 2015-09-17 |
| 1316326317 | Westchester Endrocrinology Pllc | Internal Medicine | 265 Hardscrabble Rd, Briarcliff Manor, NY 10510-1802 | 2015-05-22 |
| 1730577602 | Nicseb Medical PC | Internal Medicine | 103 W 117th St, Ph, New York, NY 10026-2963 | 2014-12-31 |
| 1962812529 | Maria Teresa Anton | Internal Medicine | 9965 64th Rd Apt 5f, Rego Park, NY 11374-2684 | 2014-05-05 |
| Find all providers with the same taxonomy | ||||
| City | SCHENECTADY |
| Zip Code | 12304 |
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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.