Jeyce Declue, DPM

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

N006064 Issued in NY

Practice address

3049 Brighton 6TH St
Brooklyn, NY 11235-6409

Phone

(718) 872-5721

Fax

(718) 872-5722

NPI assigned

Nov 7, 2005

Last updated

Nov 20, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jeycedeclue@mai.allscriptsdirect.net

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.

• Best Care Podiatry, PLLC

  • Podiatrist
  • Elmont, NY
  • NPI 1073795407
  Authorized official Same address or phone
• Jeyce Declue DPM PLLC

  • Podiatrist
  • Brooklyn, NY
  • NPI 1356627038
  Authorized official Same address or phone
• Maimonides Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1093777492
  NPD
• Ny Prime Care Medical, PC

  • General Practice Physician
  • Brooklyn, NY
  • NPI 1932425675
  NPD (past)

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353369600000",
    "number": "1306827514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BIRCH HILL RD",
            "city": "MOUNT SINAI",
            "state": "NY",
            "postal_code": "117661903",
            "telephone_number": "631-338-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3049 BRIGHTON 6TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356409",
            "telephone_number": "718-872-5721",
            "fax_number": "718-872-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECLUE",
        "first_name": "JEYCE",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-07",
        "last_updated": "2012-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N006064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02953419",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Decicca, MD
• Presler Decilon
• Jason Deck
• Kala Ann Decker
• Mark Decker I
• Deco Associates LLC
• Deco Associates LLC
• Gabriella Decolli, DPT
• Elise Claire Deconinck, DDS
• Tracey Anne Decosta Byer, L.AC.

• Foot Surgery Podiatrist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Foot Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.