Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1629078928 Deactivated / Inactive NPI Male Practitioner

Dr. Christopher Demtrak , MD

Pediatrics • Johnson City, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Christopher Demtrak has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 28, 2005
NPI Deactivation Date April 22, 2019
Total Practice Duration ~14 Years of Practice (2005 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Christopher Demtrak, MD was a registered Pediatrics practicing in Johnson City, NY. Throughout an active medical career spanning 14 years, Dr. Demtrak provided care at the practice location at 601 RIVERSIDE DR until profile deactivation on 2019-04-22.

Practice Location & Contact Primary Location

Practice Address

601 Riverside Dr

Johnson City, NY 137902544

Telephone 6077294393
Fax 6077293982
Associated Practice Facility / Clinic
🏢 Professional Home Care Inc Facility NPI 1982699252

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Johnson City, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.1 Yrs
Regional Practice Density
5 Specialists

Practicing in Johnson City, NY (6127 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NY 094998

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Susan Connelly , CSW

Social Worker - Clinical

NPI 1043311442

Clinical Social Worker

Maureen Mosher , NP

Nurse Practitioner - Family

NPI 1114295094

Nurse Practitioner

Amanda Paris , MS, OTR, L

Occupational Therapist

NPI 1225481609

Master of Science, Occupational Therapist Registered, L

Barbara Lynch , LMSW

Social Worker - Clinical

NPI 1366579880

Licensed Master Social Worker

Megan Gottlieb , PT

Physical Therapist

NPI 1518139856

Physical Therapist

Dr. Irais Leon , MD

Emergency Medicine

NPI 1528059219

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 22, 2019

Record deactivated on April 22, 2019

NPI Profile Active February 23, 2009

NPI status registered as active in NPPES database

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Updated Practice Location February 23, 2009

Registered at 601 RIVERSIDE DR, JOHNSON CITY, NY 137902544 (Tel: 6077294393)

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Updated Business Mailing Address February 23, 2009

Registered at 346 GRAND AVE, UNITED MEDICAL ASSOCIATES PC, JOHNSON CITY, NY 137902558 (Tel: 6077636293)

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Provider Name / Credentials Updated February 23, 2009

Recorded as CHRISTOPHER DEMTRAK, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2009

Pediatrics (License #094998 in NY)

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Initial NPI Registration & Enumeration July 28, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629078928
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 28, 2005
Last Update: February 23, 2009
Deactivation Date: April 22, 2019

Mailing Address

346 Grand Ave, United Medical Associates Pc

Johnson City, NY 137902558

Phone: 6077636293

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.