Individual provider Active NPI

Stephen Ducey, M.D.

  • Specialist
  • Nutley, NJ
National Provider Identifier
1265462733
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA63611 Issued in NJ
Practice address
45 Franklin Ave
Nutley, NJ 07110-3224
Phone
(973) 751-0111
Fax
(973) 235-0110
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA63611 NJ Primary

Addresses

Primary practice location

45 Franklin Ave
Nutley, NJ 07110-3224

Mailing address

45 Franklin Ave
Nutley, NJ 07110-3224
Phone (973) 751-0111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100128000142 NJ Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 5092757930 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Wake Forest University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nutley Orthopaedic Group PAGroup PAC ID 2668414590, 3 clinicians

Practice addresses (Care Compare)

45 Franklin Ave
Nutley, NJ 07110-3224

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA63611NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Nutley Orthopaedic Group, PA Specialist CurrentSince Aug 1, 2001 Accepting new patients
Essex Surgical LLC CurrentSince Oct 28, 2024 Accepting new patients

Locations

5 Franklin Ave
Ste 202
Belleville, NJ 07109
Phone (973) 429-8333

45 Franklin Ave
Nutley, NJ 07110
Phone (973) 235-0500

776 Northfield Ave
Ste 101
West Orange, NJ 07052
Phone (973) 324-0400

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437523200000",
    "number": "1265462733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 FRANKLIN AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071103224",
            "telephone_number": "973-751-0111",
            "fax_number": "973-235-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 FRANKLIN AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071103224",
            "telephone_number": "973-751-0111",
            "fax_number": "973-235-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCEY",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2015-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA63611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nutley, NJ

Sources for this page

Verify at the official NPI Registry.