Individual provider Active NPI

Jean Futoran, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Brooklyn, NY
National Provider Identifier
1063445153
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
206254 Issued in NY
Practice address
2327 83Rd St
Suite B
Brooklyn, NY 11214-2750
Phone
(718) 265-9914
Fax
(718) 265-9219
NPI assigned
Jul 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 206254 NY Primary

Addresses

Primary practice location

2327 83Rd St
Suite B
Brooklyn, NY 11214-2750

Mailing address

PO Box 195
Roslyn Heights, NY 11577-0195
Phone (718) 265-9914

Other identifiers 1

IdentifierTypeStateIssuer
06783GOtherNYGHI MEDICARE

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
I20041222000859 NY Practitioner - Physical Medicine and Rehabilitation 5799742078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1247 Suffolk Ave
Suite 4
Brentwood, NY 11717-4518
Phone (631) 434-1079

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
206254NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Rehab Medical Services, P.C. Physical Medicine & Rehabilitation CurrentSince Nov 23, 1998 Accepting new patients

Locations

1247 Suffolk Ave
Ste 4
Brentwood, NY 11717
Phone (631) 434-1079

652 Suffolk Ave
Ste 112
Brentwood, NY 11717
Phone (631) 273-2994

2327 83rd St
Ste C
Brooklyn, NY 11214
Phone (718) 265-3003

49 Berry Hill Rd
Syosset, NY 11791
Phone (516) 921-3282

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343001600000",
    "number": "1063445153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 195",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115770195",
            "telephone_number": "718-265-9914",
            "fax_number": "516-625-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2327 83RD ST",
            "address_2": "SUITE B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112142750",
            "telephone_number": "718-265-9914",
            "fax_number": "718-265-9219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUTORAN",
        "first_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2012-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "206254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI MEDICARE",
            "identifier": "06783G",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.