Duchess Medical, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

DUCHESS MEDICAL, LLC

Practice address

438 E Emerald Ave
Westmont, NJ 08108-2508

Phone

(914) 980-7106

NPI assigned

Feb 24, 2012

Organization subpart

No

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

Authorized official

Name

Charles Killelea III

Title

Chairman & Ceo

Phone

(914) 980-7106

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330041600000",
    "number": "1265706154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 E EMERALD AVE",
            "city": "WESTMONT",
            "state": "NJ",
            "postal_code": "081082508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 E EMERALD AVE",
            "city": "WESTMONT",
            "state": "NJ",
            "postal_code": "081082508",
            "telephone_number": "914-980-7106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUCHESS MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-24",
        "last_updated": "2012-02-24",
        "status": "A",
        "authorized_official_last_name": "KILLELEA",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CHAIRMAN & CEO",
        "authorized_official_telephone_number": "914-980-7106",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Westmont, NJ
• Providers in Westmont, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; 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.