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DEMETRI N BARTLEY PA-C
NPI 1629365994
Physician Assistant - Medical in Bronx, NY

Active since July 07, 2011PECOS Enrolled
1804 BOGART AVE FL 2, BRONX, NY 10462(347) 621-1540 Get Directions Write a Review

NPPES record last updated: July 7, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Demetri N Bartley Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEMETRI N BARTLEY PA-C (NPI 1629365994) is an individual medical provider in Bronx, New York, licensed in New York (014861) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629365994
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameDEMETRI N BARTLEYCredential: PA-C
Location Address1804 BOGART AVE FL 2Bronx, NY 10462-3702
Mailing Address1804 Bogart Ave Fl 2Bronx, NY 10462-3702
Phone(347) 621-1540
Sole ProprietorNo
Enumeration DateJuly 7, 2011
✔ NPI 1629365994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 014861
1804 BOGART AVE FL 2, Bronx, NY 10462
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Demetri N Bartley Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Demetri Bartley's NPI number?

The NPI number for Demetri Bartley is 1629365994. It was assigned to this individual provider in the NPPES registry on July 7, 2011.

Where is Demetri Bartley located?

Demetri Bartley practices at 1804 Bogart Ave Fl 2, Bronx, NY 10462. The listed phone number is (347) 621-1540.

What is Demetri Bartley's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Demetri Bartley enrolled in Medicare?

Yes. Demetri Bartley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Demetri Bartley was last updated on July 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.