Individual provider Active NPI

Jennifer Duchon, MD

  • Neonatal-Perinatal Medicine Physician
  • New York, NY
National Provider Identifier
1972673937
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
232816 Issued in NY
Practice address
3959 Broadway
CHN 1201
New York, NY 10032-1559
Phone
(917) 862-4706
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X 232816 NY Primary

Addresses

Primary practice location

3959 Broadway
CHN 1201
New York, NY 10032-1559

Mailing address

203 Mary Lou Ave
Yonkers, NY 10703-1903
Phone (917) 862-4706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080110000245 NY Practitioner - Other (Physician)Practitioner - Pediatric Medicine 5890875223 Reassigns benefits to 4 organizations
I20191121000026 NJ Practitioner - Pediatric Medicine 5890875223 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bronxcare Health System CurrentSince Jan 1, 2020 Accepting new patients
Maimonides Faculty Practice Plan CurrentSince Apr 18, 2020 Accepting new patients
Bronxcare Health System CurrentSince Jan 1, 2020 Accepting new patients
Maimonides Medical Center Current Accepting new patients
MMC Pediatrics Faculty Practice CurrentSince Apr 1, 2020 Accepting new patients
Bronxcare Health System Current Accepting new patients
Valley Physician Services PC CurrentSince Nov 1, 2019 Accepting new patients
Pascack Valley Hospital LLC Past Accepting new patients
Bronxcare Health System Past Accepting new patients
Montefiore Medical Center Past Accepting new patients
St Josephs University Medical Center Inc. Past Accepting new patients
Montefiore Mount Vernon Hospital Past Accepting new patients

Locations

223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

Networks

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

Interoperability endpoints

  • Direct secure messaging: jduchon189618@ahs.direct-ci.com
  • Direct secure messaging: jennifer.duchon.1@5622.direct.athenahealth.com
  • Direct secure messaging: jenniferduchon@mai.allscriptsdirect.net

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972673937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 MARY LOU AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107031903",
            "telephone_number": "917-862-4706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3959 BROADWAY",
            "address_2": "CHN 1201",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321559",
            "telephone_number": "917-862-4706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCHON",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NY",
            "license": "232816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.