Jacques Doueck, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

032954NY Issued in NY

Practice address

563 Kings Hwy
Brooklyn, NY 11223-2003

Phone

(718) 339-7982

Fax

(718) 375-7742

NPI assigned

May 24, 2005

Reactivated

Mar 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Doueck Associates

  • Dentist
  • Brooklyn, NY
  • NPI 1881969442
  NPD (past) Authorized official
• Harold Murray Alpert MD PC

  dba Better Sleep Medical NY

  • Sleep Specialist (PhD)
  • Bronx, NY
  • NPI 1154602316
  NPD (past)

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331596800000",
    "number": "1093718967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "563 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232003",
            "telephone_number": "718-339-7982",
            "fax_number": "718-375-7742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "563 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232003",
            "telephone_number": "718-339-7982",
            "fax_number": "718-375-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUECK",
        "first_name": "JACQUES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2012-03-13",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "032954NY",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Double M Medical Care PLLC
• Maria Doubrovskaia
• Anna Doucet, MS ED
• Amey Nicole Doucette
• Doueck Associates
• Roberta R Doueck, SLP-TSSLD
• Lee Douek Glaser, LCSW
• Amalia Douek, LCSWR
• Bella Douek, SLP
• Pnina Douek

• General Practice Dentistry in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.