Active NPI
Erwin Douyon, M.D.
- Surgery Physician
- Wayne, NJ
National Provider Identifier
1649420464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 25MA08703400
- Practice address
- 220 Hamburg Tpke
Suite 11
Wayne, NJ 07470-2110 - Phone
- (973) 942-4941
- Fax
- (973) 942-4259
- NPI assigned
- Sep 29, 2008
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 249264 | NY | |
| Surgery Physician | 208600000X | 25MA08703400 | NJ | Primary |
| Surgery Physician | 208600000X | ME 118245 | FL | |
| Surgical Critical Care Physician | 2086S0102X | 25MA08703400 | NJ | |
| Surgical Critical Care Physician | 2086S0102X | 249264 | NY | |
| Surgical Critical Care Physician | 2086S0102X | ME 118245 | FL |
Addresses
Primary practice location
220 Hamburg Tpke
Suite 11
Wayne, NJ 07470-2110
Mailing address
220 Hamburg Tpke
Suite 11
Wayne, NJ 07470-2110
Phone (973) 942-4941
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA08703400 | NJ | MD | Surgery Physician |
| ME 118245 | FL | MD | Surgical Critical Care Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael H Bernstein MD PA | Surgery | Past | Accepting new patients |
| Physicians Medical PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Surgery Physician
- Wayne, NJ
- NPI 1144495573
-
- Podiatrist
- New York, NY
- NPI 1083979694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390262400000",
"number": "1649420464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 HAMBURG TPKE",
"address_2": "SUITE 11",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074702110",
"telephone_number": "973-942-4941",
"fax_number": "973-942-4259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 HAMBURG TPKE",
"address_2": "SUITE 11",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074702110",
"telephone_number": "973-942-4941",
"fax_number": "973-942-4259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUYON",
"first_name": "ERWIN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-29",
"last_updated": "2014-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "249264",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NJ",
"license": "25MA08703400",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME 118245",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "NJ",
"license": "25MA08703400",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "NY",
"license": "249264",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "FL",
"license": "ME 118245",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.