Active NPI
James Bernard Dougherty Jr., MD
- Internal Medicine Physician
- New York, NY
National Provider Identifier
1730478371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 147906
- Practice address
- 55 Broad Street Suite 1840
Arcus Group
New York, NY 10004 - Phone
- (212) 785-2236
- Fax
- (212) 785-2237
- NPI assigned
- Apr 5, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 147906 | NY | Primary |
Addresses
Primary practice location
55 Broad Street Suite 1840
Arcus Group
New York, NY 10004
Mailing address
55 Broad Street Suite 1840
Arcus Group
New York, NY 10004
Phone (212) 785-2236
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147906 | NY | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301961600000",
"number": "1730478371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 BROAD STREET SUITE 1840",
"address_2": "ARCUS GROUP",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10004",
"telephone_number": "212-785-2236",
"fax_number": "212-785-2237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 BROAD STREET SUITE 1840",
"address_2": "ARCUS GROUP",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10004",
"telephone_number": "212-785-2236",
"fax_number": "212-785-2237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUGHERTY",
"first_name": "JAMES",
"middle_name": "BERNARD",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-05",
"last_updated": "2011-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "147906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.