Jean Raphael Yvon Dupoux, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

178289 Issued in NY

Practice address

Comprehensive Health Care & Rehabilitation SVC., LLC
148 Wilson Ave
Brooklyn, NY 11237-3149

Phone

(718) 455-5500

Fax

(718) 455-8700

NPI assigned

Mar 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Jersey City Medical Center

  • Emergency Medicine Physician
  • Jersey City, NJ
  • NPI 1053350421
  NPD (past)

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255458618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24812 139TH AVE",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114222205",
            "telephone_number": "718-276-6043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COMPREHENSIVE HEALTH CARE & REHABILITATION SVC., LLC",
            "address_2": "148 WILSON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112373149",
            "telephone_number": "718-455-5500",
            "fax_number": "718-455-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPOUX",
        "first_name": "JEAN",
        "middle_name": "RAPHAEL YVON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "178289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02810759",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Damien Alexander Dupont, MA
• David Houle Dupont, MD
• Joseph F Dupont, PT
• Lesley-Ann Dupont
• Micheline Dupont
• Laura Contole Dupper, MSW
• Audrey Dupree Sealey, FNP
• Helen Dupree
• Joseph Dupree
• Kim Dupree

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.