DEMETRIUS MOUTSIAKIS (NPI# 1861717860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861717860 |
| Entity Type | Individual |
| Full Name | DEMETRIUS MOUTSIAKIS |
| Credential | M.D., M.P.H. |
| Practice Address |
400 Horseblock Rd Farmingville NY 11738-1252 |
| Practice Telephone | 6316981552 |
| Mailing Telephone | 6316981552 |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2010-04-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
212315-1 | NY | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 212315-1 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
400 HORSEBLOCK RD |
| City | FARMINGVILLE |
| State | NY |
| Zip Code | 11738-1252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841262391 | Stephen Maxwell Diamond | Dentist | 400 Horseblock Rd, Farmingville, NY 11738-1252 | 2006-02-07 |
| 1366074429 | Statpsych LLP | Psychiatry & Neurology | 400 Horseblock Rd, Farmingville, NY 11738-1252 | 2020-02-06 |
| 1790331452 | Shiby Thomas | Nurse Practitioner | 400 Horseblock Rd, Farmingville, NY 11738-1252 | 2019-08-16 |
| 1255882288 | Danielle Marie Ramos | Internal Medicine | 400 Horseblock Rd, Suite H, Farmingville, NY 11738-1252 | 2016-10-14 |
| 1831458421 | Christopher E. O'sullivan | Massage Therapist | 400 Horseblock Rd, Suite E, Farmingville, NY 11738-1252 | 2012-05-16 |
| 1578823118 | Sivaranajni Ramamoorthy | Nurse Practitioner | 400 Horseblock Rd, Farmingville, NY 11738-1252 | 2012-05-16 |
| 1922373380 | Saw Medical Services PC | Physical Medicine & Rehabilitation | 400 Horseblock Rd, Suite E, Farmingville, NY 11738-1252 | 2012-03-19 |
| 1639449739 | Kathlene Rahl | Physician Assistant | 400 Horseblock Rd, Suite H, Farmingville, NY 11738-1252 | 2012-01-05 |
| 1437460805 | Horseblock Medical PC | Physical Medicine & Rehabilitation | 400 Horseblock Rd, Farmingville, NY 11738-1252 | 2010-06-30 |
| 1275765661 | Ingrid Gordon-patterson | Nurse Practitioner | 400 Horseblock Rd, Ste H, Farmingville, NY 11738-1252 | 2009-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932696408 | Kimberly Barbara Mccleary | Registered Nurse | 56 Woodycrest Drive, Farmingville, NY 11738 | 2018-04-19 |
| 1992210231 | Cs Medical Associates, PC | Family Medicine | 100 Granny Road, Suite 2, Farmingville, NY 11738 | 2017-12-08 |
| 1558882522 | Mili Biju | Registered Nurse | 400h Horseblock Road, Suite H, Farmingville, NY 11738 | 2017-06-29 |
| 1184083040 | Patrick O'reilly | Speech-Language Pathologist | 1 Mount Bear Ct, Farmingville, NY 11738 | 2016-02-19 |
| 1780055004 | Nicole Coscia | Specialist | 62 Roberta Ave, Farmingville, NY 11738 | 2015-10-13 |
| 1619313178 | Grace Propper | Nurse Practitioner | 2880 North Ocean Ave, Farmingville, NY 11738 | 2013-05-10 |
| 1952619165 | Shari Ann Pittaro | Occupational Therapy Assistant | 17 1st St, Farmingville, NY 11738 | 2010-09-22 |
| 1134377815 | Sylvia Sayer | Social Worker | 90 Bershire Drive, Farmingville, NY 11738 | 2008-09-05 |
| 1053590018 | Amy G Berk | Registered Nurse | 12 Columbus Ave, Farmingville, NY 11738 | 2007-10-26 |
| 1912069147 | Kathy Rey | Physician Assistant | 450 Clarkson Ave Box 49, Suny-downstate Medical Center, Brooklyn, NY 11738 | 2006-12-14 |
| Find all providers in zip 11738 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420472 | Theodean Smith-lawrence | General Practice | 7 Smoke Rise Ln, Wappingers Falls, NY 12590-1220 | 2020-09-03 |
| 1891304325 | Christopher R. Page, M.d., Pllc | General Practice | 46 Route 25a Ste 6, Setauket, NY 11733-2807 | 2020-07-30 |
| 1740804442 | Aliza Hakimian | General Practice | 15 Hill Park Ave Apt 2n, Great Neck, NY 11021-3709 | 2020-05-29 |
| 1962022152 | Lynnette Lallave - Cortes | General Practice | 2 Seaman Ave Apt 1d, New York, NY 10034-2904 | 2020-04-17 |
| 1942829759 | Northeasttelemedicine | General Practice | 483 Coolidge Hill Rd, Diamond Point, NY 12824 | 2020-04-11 |
| 1578198826 | Online Care Medicine PC | General Practice | 26 Oldox Rd, Delmar, NY 12054-2943 | 2020-03-06 |
| 1821621301 | Donnet Andrea Riley | General Practice | 781 Palmer Rd Apt 3a, Bronxville, NY 10708-3309 | 2020-02-12 |
| 1104463652 | Ohad Shimshon Bentur | General Practice | 450 E 63rd St Apt 3g, New York, NY 10065-7957 | 2019-12-03 |
| 1285278291 | Echo Clinical Associates LLC | General Practice | 56 Echo Ave., Ste 1, Miller Place, NY 11764-2454 | 2019-11-01 |
| 1710528583 | Debra Heverly | General Practice | 2315 Whirlpool St # 415, Niagara Falls, NY 14305-2413 | 2019-10-03 |
| Find all providers with the same taxonomy | ||||
| City | FARMINGVILLE |
| Zip Code | 11738 |
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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.