Active NPI
Duc Ly
- Homemaker
- Quincy, MA
National Provider Identifier
1043783863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- License
- S87187214
- Practice address
- 1439 Furnace Brook Pkwy
Quincy, MA 02169-6111 - Phone
- (857) 251-1325
- NPI assigned
- Jan 3, 2019
- Last updated
- Jan 3, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | S87187214 | MA | Primary |
Addresses
Primary practice location
1439 Furnace Brook Pkwy
Quincy, MA 02169-6111
Mailing address
1439 Furnace Brook Pkwy
Quincy, MA 02169-6111
Phone (857) 251-1325
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
| License | State | Type | Specialty |
|---|---|---|---|
| S87187214 | MA | MD | Homemaker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546473600000",
"number": "1043783863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1439 FURNACE BROOK PKWY",
"city": "QUINCY",
"state": "MA",
"postal_code": "021696111",
"telephone_number": "857-251-1325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1439 FURNACE BROOK PKWY",
"city": "QUINCY",
"state": "MA",
"postal_code": "021696111",
"telephone_number": "857-251-1325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LY",
"first_name": "DUC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-03",
"last_updated": "2019-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "MA",
"license": "S87187214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Quincy, MA
- Talitha Anne Lutes, LMHC
- Viktoriya Lutsiv, PHARMD
- Lux Dental
- Luxe Path Behavioral Health & Wellness PLLC
- Bonnie Ly, B.A.
- Kimberly D Lyder
- Kathleen Lydon, LICSW
- Lynn Family Dental and Orthodontics PC (Joie Smiles Boston)
- Lynn Family Dental and Orthodontics PC (Joie Smiles on the Go)
- Terence Francis Lynn, LMHC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.