Yves Georges Dubois, M.D.
Individual provider Active NPI Psychiatry Physician · West Trenton, NJ
NPI 1043300833 · NPPES record last updated Apr 10, 2008
Key facts
- NPI
- 1043300833
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 25MA06610200 (NJ)
- Practice address
- 301 Sullivan Way
West Trenton, NJ 08628-3406 - Phone
- (609) 633-1562
- Fax
- (609) 633-8527
- NPI assigned
- Oct 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
5603 Westfield Ave
Pennsauken, NJ 08110-1836
Phone (856) 665-1045
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040728001259 | NJ | Practitioner - Psychiatry | 2860462793 |
Reassigns benefits to 1 organization Practice locations: Pennsauken, NJ |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA06610200 | NJ | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yves Georges Dubois M .D .Office | Psychiatry | Past |
Accepting new patients |
Interoperability endpoints
- duboismd@dubois.direct.emds.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 25MA06610200 | NJ | Yes |
Addresses
Primary practice location
301 Sullivan Way
West Trenton, NJ 08628-3406
Mailing address
5603 Westfield Ave
Pennsauken, NJ 08110-1836
Phone (856) 665-1045
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040425C2D | Other | MEDICARE PROVIDER NUMBER |
Other providers in West Trenton, NJ
- Capital Health System
- Dariusz Chacinski
- Carolyn Ann Contee-Lassiter
- Samuel V Currie Jr.
- Alyssa Deangelis
- Margaret Duprey
- Arnold Finkel
- Vilma D Fucanan
- Farida Ghadiali
- Glenn Joel Greene
All providers in West Trenton, NJ · Psychiatry Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.