Active NPI
John Sauge Duryee, PHD
- Psychologist
- Summit, NJ
National Provider Identifier
1285864694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 35SI00102600
- Practice address
- 189 Summit Ave
Summit, NJ 07901-2967 - Phone
- (908) 277-1268
- NPI assigned
- Jul 20, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 35SI00102600 | NJ | Primary |
Addresses
Primary practice location
189 Summit Ave
Summit, NJ 07901-2967
Mailing address
189 Summit Ave
Summit, NJ 07901-2967
Phone (908) 277-1268
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248048000000",
"number": "1285864694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "189 SUMMIT AVE",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079012967",
"telephone_number": "908-277-1268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "189 SUMMIT AVE",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079012967",
"telephone_number": "908-277-1268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURYEE",
"first_name": "JOHN",
"middle_name": "SAUGE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-20",
"last_updated": "2009-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "35SI00102600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Summit, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.