Individual provider Active NPI

Jean Garry Lajeune, MD

  • Urology Physician
  • Brooklyn, NY
National Provider Identifier
1053384081
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
227093 Issued in NY
Practice address
745 64TH Street, 4TH Floor
Brooklyn, NY 11220
Phone
(718) 283-8696
Fax
(718) 635-7424
NPI assigned
Feb 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 227093 NY Primary

Addresses

Primary practice location

745 64TH Street, 4TH Floor
Brooklyn, NY 11220

Mailing address

745 64TH Street, 4TH Floor
Brookly, NY 11220
Phone (718) 283-8696

Other identifiers 1

IdentifierTypeStateIssuer
02357880MedicaidNY

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
I20040611000679 NY Practitioner - Urology 5193708972 Reassigns benefits to 5 organizations
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Affiliate Group of New York PCGroup PAC ID 4688098833, 1,222 clinicians
Wyckoff Professional Medical Services PCGroup PAC ID 6406748607, 154 clinicians

Practice addresses (Care Compare)

234 E 149 St
Bronx, NY 10451-5504
Phone (718) 579-6101

2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone (718) 616-5356

374 Stockholm St
Brooklyn, NY 11237-4006
Phone (718) 963-7266

Hospital & facility affiliations

  • Wyckoff Heights Medical Center Hospital, Brooklyn, NY, CCN 330221
  • Lincoln Medical & Mental Health Center Hospital, Bronx, NY, CCN 330080
  • Maimonides Medical Center Hospital, Brooklyn, NY, CCN 330194

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

State licenses

LicenseStateTypeSpecialty
227093NYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Interfaith Professional Physician Services, P.C. Urology CurrentSince Jul 15, 2017 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Physician Affiliate Group of New York PC CurrentSince Aug 19, 2024 Accepting new patients
Kingsbrook Medical Associates PC CurrentSince Apr 3, 2019 Accepting new patients
Wyckoff Professional Medical Services, PC CurrentSince Jan 25, 2020 Accepting new patients
Kingsbrook Medical Associates, PC CurrentSince Apr 3, 2019 Accepting new patients
Downtown Bronx Medical Associates PC CurrentSince Jul 1, 2000 Accepting new patients
Lincon Medical and Mental Center Past Accepting new patients
LMC Physician Services, PC Urology Past Accepting new patients
University Group Medical Associates, P.C Past Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients

Locations

234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

585 Schenectady Ave
Brooklyn, NY 11203
Phone (718) 604-0461

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

1110 Eastern Pkwy
Pier Toussaint
Brooklyn, NY 11213
Phone (718) 735-1900

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

Networks

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

Interoperability endpoints

  • Direct secure messaging: jeanlajeune@mai.allscriptsdirect.net
  • Direct secure messaging: jlajeune839512@nychhc.direct-ci.com

Organizations & group practices 11

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.

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": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1053384081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 64TH STREET, 4TH FLOOR",
            "city": "BROOKLY",
            "state": "NY",
            "postal_code": "11220",
            "telephone_number": "718-283-8696",
            "fax_number": "718-635-7424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 64TH STREET, 4TH FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11220",
            "telephone_number": "718-283-8696",
            "fax_number": "718-635-7424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAJEUNE",
        "first_name": "JEAN",
        "middle_name": "GARRY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "227093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02357880",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.