Aviana Nicole Duca

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

232809585 Issued in PA

Practice address

909 Walnut St RM 300
Philadelphia, PA 19107-5211

Phone

(215) 503-7118

NPI assigned

Jun 23, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1942879846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 1ST AVE",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351402",
            "telephone_number": "856-685-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 WALNUT ST RM 300",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075211",
            "telephone_number": "215-503-7118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "224 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Haddon Heights",
            "state": "NJ",
            "postal_code": "080351402",
            "country_code": "US",
            "telephone_number": "856-685-8892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUCA",
        "first_name": "AVIANA",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "232809585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "aviana3@verizon.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "909 Walnut St Rm 300",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191075211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lisa Dubroff
• Ilya Dubrovin, DPT
• Linda Dubrow-Marshall, PH.D.
• Sarah Dubrow
• Anna Dubyanskite, MD
• Silvina Duchini, LCSW
• Christopher Pace Duckett, M.D.
• Joyce Duckett, M.D.
• Zena Lee Duckett, MA, RDN, LDN, CDCES
• Reginald E. Duckson, S.W.

• Oral and Maxillofacial Surgery (Dentist) in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.