Organization Active NPI

William M. Duke MD

  • Primary Care Clinic/Center
  • Bayside, NY
National Provider Identifier
1821422858
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
162537 Issued in NY
Legal business name
WILLIAM M. DUKE MD
Practice address
3501 202ND St
Bayside, NY 11361-1117
Phone
(718) 224-7627
Fax
(718) 224-7629
NPI assigned
Aug 27, 2013
Last updated
Aug 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2013

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

Authorized official

Name
Emma Ramirez
Title
RN
Phone
(718) 224-7627

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 162537 NY Primary

Addresses

Primary practice location

3501 202ND St
Bayside, NY 11361-1117

Mailing address

3501 202ND St
Bayside, NY 11361-1117
Phone (718) 224-7627

Other identifiers 1

IdentifierTypeStateIssuer
01727215MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377561600000",
    "number": "1821422858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 202ND ST",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113611117",
            "telephone_number": "718-224-7627",
            "fax_number": "718-224-7629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 202ND ST",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113611117",
            "telephone_number": "718-224-7627",
            "fax_number": "718-224-7629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM M. DUKE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-27",
        "last_updated": "2013-08-27",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "718-224-7627"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "162537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01727215",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.