Jamaica Family Practice & Osteopathic Medicine PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

234196 Issued in NY

Legal business name

JAMAICA FAMILY PRACTICE & OSTEOPATHIC MEDICINE PC

Practice address

9050 Parsons Blvd
Suite 211
Jamaica, NY 11432-6052

Phone

(718) 526-9491

Fax

(718) 725-0009

NPI assigned

Dec 22, 2008

Organization subpart

No

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

Authorized official

Name

Marjorie Renaud DugueNPI 1881609659

Title

Owner

Phone

(718) 526-9491

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marjorie Renaud Dugue, D.O.

  • Family Medicine Physician
  • Jamaica, NY
  • NPI 1881609659

  NY

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1229904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539216000000",
    "number": "1982840922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "organization_name": "JAMAICA FAMILY PRACTICE & OSTEOPATHIC MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-22",
        "last_updated": "2018-10-11",
        "status": "A",
        "authorized_official_last_name": "DUGUE",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_middle_name": "RENAUD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-526-9491"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "234196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02619556",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamaica Dental Studio PLLC
• Jamaica Drugs Inc
• Jamaica Estates Dental Care PLLC
• Jamaica Estates Family Medical PC
• Jamaica Eye Care Center LLC
• Jamaica Get Well Corp
• Jamaica Hospital
• Jamaica Hospital
• Jamaica Hospital
• Jamaica Hospital

• Family Medicine Physician in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.