Active NPI
Auguste Lytton Duplan, MD
- Child & Adolescent Psychiatry Physician
- Ithaca, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 229792
- Practice address
- 101 Dates Dr
Cayuga Medical Center at Ithaca
Ithaca, NY 14850-1342 - Phone
- (607) 274-4623
- Fax
- (607) 274-4130
- NPI assigned
- Feb 21, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 229792-1 | NY | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 229792 | NY | Primary |
Addresses
Primary practice location
101 Dates Dr
Cayuga Medical Center at Ithaca
Ithaca, NY 14850-1342
Mailing address
101 Dates Dr
Cayuga Medical Center at Ithaca
Ithaca, NY 14850-1342
Phone (607) 274-4623
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02580927 | Medicaid | NY |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1991
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
101 Dates Dr
Ithaca, NY 14850-1342
Phone (607) 274-4443
1257 Trumansburg Rd
Ithaca, NY 14850-1313
Phone (607) 273-0811
249 Glenwood Rd
Binghamton, NY 13905-1603
Phone (607) 770-0211
305 Main St
Binghamton, NY 13905-2524
Phone (607) 729-1295
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 229792-1 | NY | MD | Psychiatry Physician |
| 229792 | NY | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cayuga Medical Center at Ithaca | Current | Accepting new patients | |
| Cayuga Pathology PLLC | Current | Accepting new patients | |
| State of New York Comptrollers Office | Current | Accepting new patients | |
| Cayuga Medical Center at Ithaca | Current | Accepting new patients | |
| State of New York Comptrollers Office | Current | Accepting new patients | |
| Cayuga Medical Center at Ithaca | Past | Accepting new patients |
Locations
44 Holland Ave
Fl 4
Albany, NY 12208
305 Main St
Binghamton, NY 13905
Phone (607) 729-1295
101 Harris B Dates Dr
Ithaca, NY 14850
Phone (607) 274-4011
Organizations & group practices 6
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.
-
dba Cayuga Medical Center
- General Acute Care Hospital
- Ithaca, NY
- NPI 1164547303
-
- Developmental Disabilities Clinic/Center
- Staten Island, NY
- NPI 1750469912
-
dba Cayuga Employee Pharmacy
- Specialty Pharmacy
- Ithaca, NY
- NPI 1730596131
-
dba Excelsior Pathology
- Anatomic Pathology & Clinical Pathology Physician
- Ithica, NY
- NPI 1427625508
-
- Developmental Disabilities Clinic/Center
- East Syracuse, NY
- NPI 1114067915
-
- General Acute Care Hospital
- Ithaca, NY
- NPI 1962422733
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ithaca, NY
- NPI 1962422733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465171200000",
"number": "1689649980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 DATES DR",
"address_2": "CAYUGA MEDICAL CENTER AT ITHACA",
"city": "ITHACA",
"state": "NY",
"postal_code": "148501342",
"telephone_number": "607-274-4623",
"fax_number": "607-274-4130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 DATES DR",
"address_2": "CAYUGA MEDICAL CENTER AT ITHACA",
"city": "ITHACA",
"state": "NY",
"postal_code": "148501342",
"telephone_number": "607-274-4623",
"fax_number": "607-274-4130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUPLAN",
"first_name": "AUGUSTE",
"middle_name": "LYTTON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-21",
"last_updated": "2016-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "229792-1",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NY",
"license": "229792",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02580927",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ithaca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.