Active NPI
Omar S. Duqmaq, NP
- Nurse Practitioner
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 335423
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 475837 | NY | MD | Registered Nurse |
| 335423 | NY | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore - Lij Anesthesiology, PC | Current | Accepting new patients | |
| Dna Pain Management LLC | Family | Current | Accepting new patients |
| RJ Medical & Urgent Care, PLLC | Current | Accepting new patients | |
| R Joudeh Medical Pavilion, PLLC | Current | Accepting new patients | |
| Goldberg & Pellegrini, MD, P.C. | Past | Accepting new patients | |
| 464 Bay Ridge Medical PLLC | Past | 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
- 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.
-
- Anesthesiology Physician
- Chappaqua, NY
- NPI 1417401266
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1134504376
-
- Urgent Care Clinic/Center
- Brooklyn, NY
- NPI 1346632262
-
- Multi-Specialty Clinic/Center
- Staten Island, NY
- NPI 1225688419
-
- Family Nurse Practitioner
- Brooklyn, NY
- NPI 1861762601
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1912568981
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1063636504
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.