Individual provider Active NPI

Gabriel Dugue, MD

  • Family Medicine Physician
  • New Hyde Park, NY
National Provider Identifier
1982761474
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
175647 Issued in NY
Practice address
4 Lincoln Avenue
New Hyde Park, NY 11040-3125
Phone
(516) 775-4276
Fax
(516) 775-4278
NPI assigned
Jan 3, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

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
Family Medicine Physician 207Q00000X 175647 NY Primary

Addresses

Primary practice location

4 Lincoln Avenue
New Hyde Park, NY 11040-3125

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
01792929MedicaidNY

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
I20101223000014 NY Practitioner - Preventive MedicinePractitioner - General Practice 1759579303 Practice locations: Bronx, NY; New Hyde Park, NY

Care Compare profile

Medicare Care Compare
Specialty
Preventive MedicineAlso: General Practice
Education
New York University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

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

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Networks

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982761474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 LINCOLN AVENUE",
            "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 AVENUE",
            "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": "GABRIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "175647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01792929",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.