Individual provider Active NPI

Omar S. Duqmaq, NP

  • Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1245418706
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
335423 Issued in NY
Practice address
380 88TH St
Brooklyn, NY 11209-5665
Phone
(347) 837-1005
NPI assigned
Feb 7, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 475837 NY
Nurse Practitioner 363L00000X 335423 NY Primary

Addresses

Primary practice location

380 88TH St
Brooklyn, NY 11209-5665

Mailing address

2215 Avenue Y # 1F
Brooklyn, NY 11235-2957
Phone (347) 837-1005

Other practice location 1

2215 Avenue Y # 1F
Brooklyn, NY 11235
Phone (347) 837-1005

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100106000118 NY Practitioner - Nurse Practitioner 9436290913 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York Downstate Medical Center, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

380 88TH St
Brooklyn, NY 11209-5665
Phone (347) 837-1005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
475837NYMDRegistered Nurse
335423NYMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore - Lij Anesthesiology, PC CurrentSince Jul 1, 2019 Accepting new patients
Dna Pain Management LLC Family CurrentSince Feb 1, 2024 Accepting new patients
RJ Medical & Urgent Care, PLLC CurrentSince May 1, 2020 Accepting new patients
R Joudeh Medical Pavilion, PLLC CurrentSince Dec 2, 2017 Accepting new patients
Goldberg & Pellegrini, MD, P.C. Past Accepting new patients
464 Bay Ridge Medical PLLC PastSince Sep 16, 2019 Accepting new patients

Locations

466 Bay Ridge Ave
Brooklyn, NY 11220
Phone (646) 288-2004

464 Bay Ridge Ave
Ste A
Brooklyn, NY 11220
Phone (718) 680-6006

195 E Main St
Huntington, NY 11743
Phone (631) 385-8677

301 N Main St
Ste 2
New City, NY 10956
Phone (845) 638-0040

475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855

242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458

375 Seguine Ave
Staten Island, NY 10309
Phone (718) 226-2000

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1798/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1245418706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 AVENUE Y # 1F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352957",
            "telephone_number": "347-837-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 88TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112095665",
            "telephone_number": "347-837-1005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2215 Avenue Y # 1F",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11235",
            "country_code": "US",
            "telephone_number": "347-837-1005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUQMAQ",
        "first_name": "OMAR",
        "middle_name": "S.",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-07",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "475837",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "335423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.