NPIMap

Organization Active NPI

Yvan Ducheine MD PC

  • Surgery Physician
  • Orange, NJ
National Provider Identifier
1114053071
Registry record updated Feb 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25MA06289400 Issued in NJ
Legal business name
YVAN DUCHEINE MD PC
Practice address
150 Main St Ste 12
Orange, NJ 07050-3700
Phone
(973) 674-4042
Fax
(973) 674-5070
NPI assigned
Feb 26, 2007
Last updated
Feb 24, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2011

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

Authorized official

Name
Dr. Yvan Ducheine, MDNPI 1578638136
Title
President
Phone
(973) 674-4042

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 25MA06289400 NJ Primary

Addresses

Primary practice location

150 Main St Ste 12
Orange, NJ 07050-3700

Mailing address

150 Main St Ste 12
Orange, NJ 07050-3700
Phone (973) 674-4042

National Provider Directory

National Provider Directory

Locations

150 Main St
Ste 12
Orange, NJ 07050
Phone (973) 674-4042

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298505600000",
    "number": "1114053071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MAIN ST STE 12",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "070503700",
            "telephone_number": "973-674-4042",
            "fax_number": "973-674-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MAIN ST STE 12",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "070503700",
            "telephone_number": "973-674-4042",
            "fax_number": "973-674-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YVAN DUCHEINE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2011-02-24",
        "status": "A",
        "authorized_official_last_name": "DUCHEINE",
        "authorized_official_first_name": "YVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-674-4042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA06289400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; 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.