Organization Active NPI

Jacques Duperval, MD, Fics, Facs, PC

  • Surgery Physician
  • Brooklyn, NY
National Provider Identifier
1083954648
Registry record updated Feb 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
JACQUES DUPERVAL, MD, FICS, FACS, PC
Practice address
60 Plaza Street East
Suite S-3
Brooklyn, NY 11238
Phone
(718) 783-5168
Fax
(718) 783-0408
NPI assigned
Feb 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2013

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

Authorized official

Name
Mr. Jacques Duperval, M.D
Title
Chief Financial Officer
Phone
(718) 783-5168

Specialties & licenses 1

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

Addresses

Primary practice location

60 Plaza Street East
Suite S-3
Brooklyn, NY 11238

Mailing address

60 Plaza Street East
Suite S-3
Brooklyn, NY 11238
Phone (718) 783-5168

National Provider Directory

National Provider Directory

Locations

60 Plaza St E
Ste S3
Brooklyn, NY 11238
Phone (718) 783-5168

NPI Registry JSON

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

{
    "created_epoch": "1361232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361232000000",
    "number": "1083954648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 PLAZA STREET EAST",
            "address_2": "SUITE S-3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11238",
            "telephone_number": "718-783-5168",
            "fax_number": "718-783-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 PLAZA STREET EAST",
            "address_2": "SUITE S-3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11238",
            "telephone_number": "718-783-5168",
            "fax_number": "718-783-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUES DUPERVAL, MD, FICS, FACS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-19",
        "last_updated": "2013-02-19",
        "status": "A",
        "authorized_official_last_name": "DUPERVAL",
        "authorized_official_first_name": "JACQUES",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "718-783-5168",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; 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.