Jacqueline Ivette Duarte, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

231034 Issued in NY

Practice address

1 Gateway PLZ
3Rd FL
Port Chester, NY 10573-4674

Phone

(914) 481-5722

Fax

(914) 481-5720

NPI assigned

Dec 4, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Brookview Medical Associates, PLLC

  • General Practice Physician
  • Bohemia, NY
  • NPI 1871965855
  Medicare reassignment NPD

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228348800000",
    "number": "1932344900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GATEWAY PLZ",
            "address_2": "3RD FL",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105734674",
            "telephone_number": "914-481-5722",
            "fax_number": "914-481-5720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GATEWAY PLZ",
            "address_2": "3RD FL",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105734674",
            "telephone_number": "914-481-5722",
            "fax_number": "914-481-5720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUARTE",
        "first_name": "JACQUELINE",
        "middle_name": "IVETTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-04",
        "last_updated": "2008-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "231034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Dimarco, LCSW
• Direct Care Carrier LLC
• Miranda Dold, LCSW
• Esme Marguerite Douglas, DNP, PMHNP-BC
• Dr Denis Leblang DPM PC
• Courtney Jennifer Dumain
• Rebecca Hannah Atlas Dunn, LCSW
• Eastside Orthotics & Prosthetics Inc
• Economy Pharmacy Inc
• Victor Lawrence Edmond, D.D.S.

• Internal Medicine Physician in Port Chester, NY
• Providers in Port Chester, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.