Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicholas Dueck, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1811429681

Nicholas Dueck, MD is a Diagnostic Radiology in Port Jefferson, New York. Graduated from Creighton University School of Medicine in 2017, 9 years ago. Practices with Gem State Radiology LLP, a 42-clinician group and accepts Medicare assignment.

Years since qualifying
9
Trained at
Creighton University School of Medicine
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

75 N Country Rd
Port Jefferson, NY 11777-2119
Phone: (631) 686-2517
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1811429681
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 31, 2017
Last updated in NPPESMarch 31, 2017
Mailing address2465 S 3rd Street Plz, Omaha, NE 68108-1707

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolCREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Gem State Radiology Llp — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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