Active NPI
Patricia Helena Duzon, DDS
- General Practice Dentistry
- New York, NY
National Provider Identifier
1295936987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0404981
- Practice address
- 2860 Bailey Ave
Suite 1-B
New York, NY 10463 - Phone
- (718) 549-6666
- Fax
- (718) 549-6666
- NPI assigned
- May 30, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0404981 | NY | Primary |
Addresses
Primary practice location
2860 Bailey Ave
Suite 1-B
New York, NY 10463
Mailing address
2860 Bailey Ave
Suite 1-B
New York, NY 10463
Phone (718) 549-6666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01005903 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0404981 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295936987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2860 BAILEY AVE",
"address_2": "SUITE 1-B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10463",
"telephone_number": "718-549-6666",
"fax_number": "718-549-6666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2860 BAILEY AVE",
"address_2": "SUITE 1-B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10463",
"telephone_number": "718-549-6666",
"fax_number": "718-549-6666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUZON",
"first_name": "PATRICIA",
"middle_name": "HELENA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "0404981",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01005903",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- 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.