IndividualActive
David Deramo, M.D.
NPI 1063562445 · Sports Medicine (Orthopaedic Surgery) Physician · Englewood, NJ
Provider details
- NPI number
- 1063562445
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 25MA08226000 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
370 Grand Ave Ste 100
Englewood, NJ 07631-4109
Phone: (015) 675-7002
Fax: (201) 567-8049
Approximate (ZIP-level) locationGet directions
Mailing address
370 Grand Ave
Englewood, NJ 07631-4154
Registry dates
- Enumerated
- 2007-01-10
- Last updated
- 2020-09-18
- Certified
- 2020-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.