NPIMap

Individual provider Active NPI

Christine Marie Doucet, M.D.

  • Family Medicine Physician
  • Patchogue, NY
National Provider Identifier
1063596823
Registry record updated May 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
214240 Issued in NY
Practice address
130 Medford Ave
Patchogue, NY 11772-1206
Phone
(631) 475-5734
Fax
(631) 758-2568
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 214240 NY Primary

Addresses

Primary practice location

130 Medford Ave
Patchogue, NY 11772-1206

Mailing address

130 Medford Ave
Patchogue, NY 11772-1206
Phone (631) 475-5734

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101130000535 NY Practitioner - Family Practice 7517153760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patchogue Family Medical Care PCGroup PAC ID 0648160713, 3 clinicians

Practice addresses (Care Compare)

130 Medford Ave
Patchogue, NY 11772-1206
Phone (631) 475-5734

Hospital & facility affiliations

  • Tender Loving Care, an Amedisys Company Home health agency, Medford, NY, CCN 337260
  • Centerwell Home Health Home health agency, Hauppauge, NY, CCN 337232
  • Catholic Home Care Home health agency, Farmingdale, NY, CCN 337147
  • Peconic Bay Homehealth Services Home health agency, Riverhead, NY, CCN 337400
  • NYU Langone Home Health Care Home health agency, Garden City, NY, CCN 337187
  • Long Island Community Hospital Hospital, Patchogue, NY, CCN 330141
  • Suny/Stony Brook University Hospital Hospital, Stony Brook, NY, CCN 330393
  • John T Mather Memorial Hospital of Port Jefferson Hospital, Port Jefferson, NY, CCN 330185
  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Vytaliz Medical CurrentSince Jan 1, 2021 Accepting new patients
Patchogue Family Medical Care, PC Family Medicine CurrentSince Dec 6, 2000 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3 E Evergreen Rd
Ste 1017
New City, NY 10956
Phone (201) 565-2533

130 Medford Ave
Patchogue, NY 11772
Phone (631) 475-5734

Interoperability endpoints

  • Direct secure messaging: cdoucet504420@nyumc.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CAFDAA/Endpoint/CAFDAA

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304467200000",
    "number": "1063596823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 MEDFORD AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117721206",
            "telephone_number": "631-475-5734",
            "fax_number": "631-758-2568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MEDFORD AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117721206",
            "telephone_number": "631-475-5734",
            "fax_number": "631-758-2568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUCET",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2011-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "214240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Patchogue, NY

Sources for this page

Verify at the official NPI Registry.