Organization Active NPI

Deborah Lynn Duxbury, MD, PC

  • Surgery Physician
  • Bethpage, NY
National Provider Identifier
1043597818
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
251513 Issued in NY
Legal business name
DEBORAH LYNN DUXBURY, MD, PC
Practice address
8 Seitz Dr
Bethpage, NY 11714-6017
Phone
(516) 605-1955
Fax
(516) 605-1956
NPI assigned
Nov 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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

Authorized official

Name
Dr. Deborah Lynn Duxbury, MDNPI 1558505222
Title
Owner
Phone
(516) 605-1955

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 251513 NY Primary

Addresses

Primary practice location

8 Seitz Dr
Bethpage, NY 11714-6017

Mailing address

8 Seitz Dr
Bethpage, NY 11714-6017
Phone (516) 605-1955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111215000020 NY Part B Supplier - Clinic/Group Practice 6901071273 Receives reassigned benefits from 2 practitioners
Practice locations: Farmingdale, NY

National Provider Directory

National Provider Directory

Locations

4900 Hempstead Tpke
#102
Farmingdale, NY 11735
Phone (516) 605-1955

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1043597818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SEITZ DR",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117146017",
            "telephone_number": "516-605-1955",
            "fax_number": "516-605-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 SEITZ DR",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117146017",
            "telephone_number": "516-605-1955",
            "fax_number": "516-605-1956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH LYNN DUXBURY, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-08",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "DUXBURY",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-605-1955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "251513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethpage, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.