Individual provider Active NPI

Marie Gerald Duclair

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1649051921
Registry record updated Dec 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F405356-01 Issued in NY
Practice address
937 E 96TH St
Brooklyn, NY 11236-2303
Phone
(917) 345-9489
NPI assigned
Oct 11, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F405356-01 NY Primary

Addresses

Primary practice location

937 E 96TH St
Brooklyn, NY 11236-2303

Mailing address

937 E 96TH St
Brooklyn, NY 11236-2303
Phone (917) 345-9489

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240327000930 NY Practitioner - Nurse Practitioner 6204273139 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Doral Medical and Multi Specialty Facility LLCGroup PAC ID 9830528645, 53 clinicians

Practice addresses (Care Compare)

1797 Pitkin Ave
Suite 2
Brooklyn, NY 11212-7844
Phone (718) 971-1944

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F405356-01NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
House Call Medical Services of New York, PLLC CurrentSince May 26, 2024 Accepting new patients
Essen Medical Urgicare, PLLC CurrentSince May 26, 2024 Accepting new patients
Bronx Medical Practice P.C. CurrentSince May 26, 2024 Accepting new patients
Essen Medical Associates,PC CurrentSince May 26, 2024 Accepting new patients
Essen Medical Associates, PC CurrentSince May 26, 2024 Accepting new patients
Doral Medical and Multi Specialty Facility LLC CurrentSince Feb 3, 2025 Accepting new patients
New Horizon Counseling Center Inc CurrentSince Feb 1, 2024 Accepting new patients
Essen Medical Associates, PC Current Accepting new patients
Shakespeare Operating LLC CurrentSince May 26, 2024 Accepting new patients
New Balance NP in Psychiatry PLLC Psychiatric/Mental Health CurrentSince Nov 7, 2025 Accepting new patients
Doral Pharmacy LLC PastSince Feb 3, 2025 Accepting new patients

Locations

1250 Shakespeare Ave
Bronx, NY 10452
Phone (646) 350-1633

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366

1797 Pitkin Ave
Ste 2
Brooklyn, NY 11212
Phone (718) 367-2555

445 Oak St
Copiague, NY 11726
Phone (631) 257-5173

8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

10819 Rockaway Blvd
South Ozone Park, NY 11420
Phone (718) 327-7202

50 W Hawthorne Ave
Valley Stream, NY 11580
Phone (516) 872-9698

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702771200000",
    "number": "1649051921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "937 E 96TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112362303",
            "telephone_number": "917-345-9489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 E 96TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112362303",
            "telephone_number": "917-345-9489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCLAIR",
        "first_name": "MARIE",
        "middle_name": "GERALD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-12-17",
        "certification_date": "2023-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F405356-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.