Individual provider Active NPI

Laura Marquis-Dusauzay, DPM

  • Podiatrist
  • Brooklyn, NY
National Provider Identifier
1720096787
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N004415 Issued in NY
Practice address
593 Ashford
Brooklyn, NY 11207
Phone
(718) 927-4216
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N004415 NY Primary

Addresses

Primary practice location

593 Ashford
Brooklyn, NY 11207

Mailing address

593 Ashford
Brooklyn, NY 11207
Phone (718) 927-4216

Other identifiers 1

IdentifierTypeStateIssuer
01082755MedicaidNY

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040615000462 NY Practitioner - Podiatry 9537143987 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY; Ridgewood, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004415NYMDMental Health Counselor
N004415NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Feafea Moore Peal Nurse Practitioner in Family Health PLLC CurrentSince Jul 1, 2021 Accepting new patients

Locations

153 4th Ave
Brooklyn, NY 11217
Phone (718) 230-5811

Organizations & group practices 1

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215993600000",
    "number": "1720096787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "593 ASHFORD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11207",
            "telephone_number": "718-927-4216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 ASHFORD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11207",
            "telephone_number": "718-927-4216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUIS-DUSAUZAY",
        "first_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2008-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N004415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01082755",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.