Individual provider Active NPI

Auguste Duverneau, D,C.

  • Chiropractor
  • Englewood, NJ
National Provider Identifier
1043544703
Registry record updated Sep 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00528900 Issued in NJ
Practice address
242 Engle St
Englewood, NJ 07631-2463
Phone
(201) 541-5410
NPI assigned
Sep 29, 2009
Last updated
Sep 29, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00528900 NJ Primary
Rehabilitation Chiropractor 111NR0400X 38MC00528900 NJ
Independent Medical Examiner Chiropractor 111NI0013X 38MC00528900 NJ

Addresses

Primary practice location

242 Engle St
Englewood, NJ 07631-2463

Mailing address

242 Engle St
Englewood, NJ 07631-2463
Phone (201) 541-5410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
38MC00528900NJMDChiropractor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254182400000",
    "number": "1043544703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 ENGLE ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312463",
            "telephone_number": "201-541-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 ENGLE ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312463",
            "telephone_number": "201-541-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUVERNEAU",
        "first_name": "AUGUSTE",
        "name_prefix": "Dr.",
        "credential": "D,C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-29",
        "last_updated": "2009-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00528900",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NJ",
            "license": "38MC00528900",
            "primary": false
        },
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "NJ",
            "license": "38MC00528900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.