Jean Omega Fleurgin, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

353908 Issued in NY

Practice address

845 Palmer Ave
Mamaroneck, NY 10543-2406

Phone

(201) 667-8117

NPI assigned

Feb 12, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jean Fleurgin Professional name

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Suffolk Primary Health LLCGroup PAC ID 9436420510, 46 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centers Home Health Revival (Bronx) Home health agency, Bronx, NY, CCN 337436
• Revival Home Health Care Home health agency, Staten Island, NY, CCN 337299
• Extended Home Care Home health agency, Brooklyn, NY, CCN 337414
• Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
• Cassena Care at Home Home health agency, Brooklyn, NY, CCN 337441

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IFCJCD

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.

• Suffolk Primary Health, LLC

  • Primary Care Clinic/Center
  • Riverhead, NY
  • NPI 1174965727
  Medicare reassignment Care Compare group NPD
• Vantage Medical Associates PC

  • Multi-Specialty Clinic/Center
  • Far Rockaway, NY
  • NPI 1538642996
  Medicare reassignment
• Palekar Family Medical Services PC

  • Family Medicine Physician
  • Harrison, NY
  • NPI 1518954437
  NPD

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

• Alpine Home Health Care LLC

  • Home Health Agency
  • Bronx, NY
  • NPI 1912179763
  Care Compare affiliation
• Americare Certified Special Services, Inc.

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1770513145
  Care Compare affiliation
• Extended Nursing Personnel Chha, LLC

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1396836219
  Care Compare affiliation
• Gamzel Ny, Inc

  • Home Health Agency
  • Staten Island, NY
  • NPI 1841233178
  Care Compare affiliation
• Prospect Acquisition III LLC

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1114557931
  Care Compare affiliation

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1063276715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 ESSEX AVE",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070362625",
            "telephone_number": "201-667-8117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 PALMER AVE",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105432406",
            "telephone_number": "201-667-8117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEURGIN",
        "first_name": "JEAN OMEGA",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-08-05",
        "certification_date": "2024-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "353908",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11030937",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEAN",
            "last_name": "FLEURGIN",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Tahje Nyree Fields
• Jill Fife, LCSW
• John Nicholas Finelli, D.D.S.
• Eve C. First, LCSW-R, BCD
• Lakaii Flemings
• Jacqueline Fogarty
• Jacqueline Fonseca-Elias, M.S.
• Ridvan Foxhall, OTR/L
• Elvira M Franco, LCSW
• Shannel J Franco

• Family Nurse Practitioner in Mamaroneck, NY
• Providers in Mamaroneck, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.