Active NPI
Alix Dufresne, MD PC
- Specialist
- Brooklyn, NY
National Provider Identifier
1003119066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 157033
- Legal business name
- ALIX DUFRESNE, MD PC
- Practice address
- 1166 Eastern Pkwy
Brooklyn, NY 11213-4108 - Phone
- (718) 771-4987
- Fax
- (718) 771-6001
- NPI assigned
- Dec 14, 2010
- Last updated
- Dec 14, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alix Dufresne, M.D.
- Title
- Cardiologist
- Phone
- (718) 771-4987
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 157033 | NY | Primary |
Addresses
Primary practice location
1166 Eastern Pkwy
Brooklyn, NY 11213-4108
Mailing address
1166 Eastern Pkwy
Brooklyn, NY 11213-4108
Phone (718) 771-4987
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00859485 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Cardiovascular Disease Physician
- Brooklyn, NY
- NPI 1700819950
-
- Cardiovascular Disease Physician
- Kirkland, WA
- NPI 1003924630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1292284800000",
"number": "1003119066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1166 EASTERN PKWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112134108",
"telephone_number": "718-771-4987",
"fax_number": "718-771-6001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1166 EASTERN PKWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112134108",
"telephone_number": "718-771-4987",
"fax_number": "718-771-6001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALIX DUFRESNE, MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-14",
"last_updated": "2010-12-14",
"status": "A",
"authorized_official_last_name": "DUFRESNE",
"authorized_official_first_name": "ALIX",
"authorized_official_title_or_position": "CARDIOLOGIST",
"authorized_official_telephone_number": "718-771-4987",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "157033",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00859485",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.