Individual provider Active NPI

Yanick Dugue, PA

  • Medical Physician Assistant
  • New Hyde Park, NY
National Provider Identifier
1841818895
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
002971 Issued in NY
Practice address
4 Lincoln Ave
New Hyde Park, NY 11040-3125
Phone
(516) 775-4276
Fax
(516) 775-4278
NPI assigned
Jul 7, 2020
Last updated
Jul 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 002971 NY Primary

Addresses

Primary practice location

4 Lincoln Ave
New Hyde Park, NY 11040-3125

Mailing address

4 Lincoln Ave
New Hyde Park, NY 11040-3125
Phone (516) 775-4276

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
002971NYMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1841818895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 LINCOLN AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110403125",
            "telephone_number": "516-775-4276",
            "fax_number": "516-775-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 LINCOLN AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110403125",
            "telephone_number": "516-775-4276",
            "fax_number": "516-775-4278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGUE",
        "first_name": "YANICK",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-07",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "002971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.