Provider Demographics
NPI:1649208125
Name:DEMAIO, RALPH AMES (MD)
Entity Type:Individual
Prefix:MR
First Name:RALPH
Middle Name:AMES
Last Name:DEMAIO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:205 BROWERTOWN RD
Mailing Address - Street 2:STE 206
Mailing Address - City:WEST PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07424
Mailing Address - Country:US
Mailing Address - Phone:973-837-0230
Mailing Address - Fax:973-837-0234
Practice Address - Street 1:205 BROWERTOWN RD
Practice Address - Street 2:STE 206
Practice Address - City:WEST PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07424
Practice Address - Country:US
Practice Address - Phone:973-837-0230
Practice Address - Fax:973-837-0234
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2009-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA03523800207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4229686OtherAETNA PPO
NJ1232Z1OtherBC BS OF NY SUITE 206 W PATERSON
NJ1651102Medicaid
NJ398169OtherWELLCARE
NJ0091820000OtherAMERIHEALTH
NJ0554215OtherGHI PPO
NJP3928339OtherOXFORD
NJ3K8632OtherHEALTHNET
NJ1945333OtherAETNA HMO
NJ1232Z2OtherBC/BS OF NY SUITE 102 W PATERSON
NJP3928339OtherOXFORD
NJ196982ZA0ZMedicare PIN
NJ1945333OtherAETNA HMO