Active NPI
John Duryee, MD
- Family Medicine Physician
- Audubon, NJ
National Provider Identifier
1992797427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MA77269
- Practice address
- 41 E Kings Hwy FL 1
Audubon, NJ 08106-1216 - Phone
- (888) 982-8594
- NPI assigned
- Aug 19, 2005
- Last updated
- May 11, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MA77269 | NJ | Primary |
Addresses
Primary practice location
41 E Kings Hwy FL 1
Audubon, NJ 08106-1216
Mailing address
137 Mountain Ave
Hackettstown, NJ 07840-2390
Phone (908) 852-1887
Other practice location 1
137 Mountain Ave
Hackettstown, NJ 07840-2390
Phone (908) 852-1887 ext. 264
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA77269 | NJ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Diagnostic Associates, PA | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Cranford, NJ
- NPI 1487696886
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620691200000",
"number": "1992797427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "137 MOUNTAIN AVE",
"city": "HACKETTSTOWN",
"state": "NJ",
"postal_code": "078402390",
"telephone_number": "908-852-1887",
"fax_number": "908-852-0614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 E KINGS HWY FL 1",
"city": "AUDUBON",
"state": "NJ",
"postal_code": "081061216",
"telephone_number": "888-982-8594"
}
],
"practiceLocations": [
{
"address_1": "137 MOUNTAIN AVE",
"address_purpose": "LOCATION",
"city": "HACKETTSTOWN",
"state": "NJ",
"postal_code": "078402390",
"country_code": "US",
"telephone_number": "908-852-1887 x264",
"fax_number": "908-852-0614",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DURYEE",
"first_name": "JOHN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-19",
"last_updated": "2021-05-11",
"certification_date": "2021-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "MA77269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Audubon, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.