Individual provider Active NPI

Marjorie Renaud Dugue, D.O.

  • Family Medicine Physician
  • Jamaica, NY
National Provider Identifier
1881609659
Registry record updated Oct 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
234196 Issued in NY
Practice address
9050 Parsons Blvd
Suite 211
Jamaica, NY 11432-6052
Phone
(718) 526-9491
Fax
(718) 725-0009
NPI assigned
Jul 30, 2006
Last updated
Oct 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 234196 NY Primary

Addresses

Primary practice location

9050 Parsons Blvd
Suite 211
Jamaica, NY 11432-6052

Mailing address

18435 Henley Rd
Jamaica, NY 11432-2421
Phone (718) 704-7428

Other identifiers 1

IdentifierTypeStateIssuer
02619556MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050209000195 NY Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 5991756884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9050 Parsons Blvd
Suite 211
Jamaica, NY 11432-6052
Phone (718) 526-9491

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
234196NYMDFamily Medicine Physician

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760832000000",
    "number": "1881609659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18435 HENLEY RD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114322421",
            "telephone_number": "718-704-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9050 PARSONS BLVD",
            "address_2": "SUITE 211",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114326052",
            "telephone_number": "718-526-9491",
            "fax_number": "718-725-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGUE",
        "first_name": "MARJORIE",
        "middle_name": "RENAUD",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-30",
        "last_updated": "2025-10-19",
        "certification_date": "2025-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "234196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02619556",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.