Active NPI
Maggnel Jean Pierre
- Registered Nurse
- Bronx, NY
National Provider Identifier
1063834547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 749243
- Practice address
- 2052 Tillotson Ave
Bronx, NY 10475-1583 - Phone
- (718) 671-2100
- NPI assigned
- Jan 17, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 749243 | NY | Primary |
| Licensed Practical Nurse | 164W00000X | 3091011 | NY |
Addresses
Primary practice location
2052 Tillotson Ave
Bronx, NY 10475-1583
Mailing address
6424 18TH Ave FL 2
Brooklyn, NY 11204-3729
Phone (212) 687-7464
Other practice location 1
6424 18th Ave Fl 2
Brooklyn, NY 11204-3729
Phone (212) 687-7464
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 749243 | NY | MD | Registered Nurse |
| 3091011 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771286400000",
"number": "1063834547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6424 18TH AVE FL 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112043729",
"telephone_number": "212-687-7464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2052 TILLOTSON AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104751583",
"telephone_number": "718-671-2100"
}
],
"practiceLocations": [
{
"address_1": "6424 18th Ave Fl 2",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112043729",
"country_code": "US",
"telephone_number": "212-687-7464",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JEAN PIERRE",
"first_name": "MAGGNEL",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-01-17",
"last_updated": "2026-02-17",
"certification_date": "2026-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "749243",
"primary": true
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "3091011",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.