Organization Active NPI

Jacqueline Dauhajre, M.D., P.C.

  • Ophthalmology Physician
  • New York, NY
National Provider Identifier
1215207683
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
176455 Issued in NY
Legal business name
JACQUELINE DAUHAJRE, M.D., P.C.
Practice address
140 E 80TH St
New York, NY 10075-0306
Phone
(646) 553-5220
Fax
(917) 338-2607
NPI assigned
Jan 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

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

Authorized official

Name
Dr. Jacqueline Dauhajre, M.D.NPI 1043206469
Title
President
Phone
(917) 519-1171

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 176455 NY Primary

Addresses

Primary practice location

140 E 80TH St
New York, NY 10075-0306

Mailing address

75 E End Ave
#2C
New York, NY 10028-7909
Phone (917) 519-1171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120118000081 NY Part B Supplier - Clinic/Group Practice 7719154624 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY; Jackson Heights, NY; Bronx, NY; Long Isalnd City, NY

National Provider Directory

National Provider Directory

Locations

8211 37th Ave
Ste 604
Jackson Heights, NY 11372
Phone (646) 553-5220

140 E 80th St
Fl 2
New York, NY 10075
Phone (646) 553-5220

436 Fort Washington Ave
Apt 1A
New York, NY 10033
Phone (212) 923-0408

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1215207683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 E END AVE",
            "address_2": "#2C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100287909",
            "telephone_number": "917-519-1171",
            "fax_number": "917-338-2607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 E 80TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750306",
            "telephone_number": "646-553-5220",
            "fax_number": "917-338-2607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE DAUHAJRE, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "DAUHAJRE",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-519-1171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "176455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.