Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Demetrios Roussos, NP

Individual provider Pediatric Nurse Practitioner · NPI 1356522908

Mr. Demetrios Roussos, NP is a Pediatric Nurse Practitioner in New York, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

301 E 17th St
New York, NY 10003-3804
Phone: (212) 598-6286
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 381829 (NY)

Record details

NPI number1356522908
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedNovember 23, 2007
Last updated in NPPESSeptember 12, 2022
Certification dateSeptember 12, 2022

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