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

Olivia Renee Demarco

Individual provider Physician Assistant · NPI 1962019760

Olivia Renee Demarco is a Physician Assistant in Riverhead, New York. Qualified in 2023, 3 years ago. Practices with Peconic Bay Primary Medical Care, a 72-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2020
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Practice location Address checks out

64 Commerce Ave
Riverhead, NY 11901-4455
Phone: (631) 369-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 025666 (NY)

Record details

NPI number1962019760
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 25, 2020
Last updated in NPPESNovember 9, 2020
Certification dateNovember 9, 2020
Mailing address10 Barnsley Cres, Mount Sinai, NY 11766-2800

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Peconic Bay Primary Medical Care — 72 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Riverhead