Individual provider Active NPI

Jean Herold Ancion, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1265609127
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
245310 Issued in NY
Practice address
4213 Church Ave
Brooklyn, NY 11203-3011
Phone
(718) 287-0868
Fax
(718) 287-1375
NPI assigned
May 9, 2008
Last updated
Apr 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 245310 NY
Hospitalist Physician 208M00000X 53543 CT
Internal Medicine Physician 207R00000X 245310 NY Primary

Addresses

Primary practice location

4213 Church Ave
Brooklyn, NY 11203-3011

Mailing address

10418 220TH St
Queens Village, NY 11429-2145
Phone (917) 204-9723

Other identifiers 1

IdentifierTypeStateIssuer
03054428MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20081029000001 NY Practitioner - HospitalistPractitioner - Internal MedicinePractitioner - Geriatric Medicine 0042378465 Reassigns benefits to 7 organizations
I20250430001023 CT Practitioner - Hospitalist 0042378465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Sinai School of MedicineGroup PAC ID 6406096544, 150 clinicians
Arnot Ogden Medical CenterGroup PAC ID 5395798417, 219 clinicians

Practice addresses (Care Compare)

1 Healthy Way
Oceanside, NY 11572-1551
Phone (516) 632-3670

600 Roe Ave
Elmira, NY 14905-1629
Phone 60773741004118

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York Queens Medicine and Surgery, P.C. CurrentSince Apr 14, 2021 Accepting new patients
North Shore-Lij Medical PC Internal Medicine CurrentSince Apr 8, 2019 Accepting new patients
Arnot Ogden Medical Center CurrentSince Nov 22, 2023 Accepting new patients
Southwest Suffolk Medical, P.C. CurrentSince Jan 1, 2016 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Apr 7, 2025 Accepting new patients
Galen Inpatient Physicians PC Internal Medicine Current Accepting new patients
Mount Sinai School of Medicine Internal Medicine Current Accepting new patients
Mount Sinai School of Medicine CurrentSince Apr 22, 2024 Accepting new patients
New York Medical Physician Associates PC Hospitalist CurrentSince Apr 1, 2025 Accepting new patients
New York Medical Physician Associates PC Internal Medicine CurrentSince Apr 1, 2025 Accepting new patients
New York Queens Medicine and Surgery, P.C. CurrentSince Apr 14, 2021 Accepting new patients
Southwest Suffolk Medical PC CurrentSince Jan 1, 2016 Accepting new patients
Arnot Ogden Medical Center CurrentSince Nov 22, 2023 Accepting new patients
Brookview Medical Associates, PLLC CurrentSince Aug 31, 2023 Accepting new patients
Mount Sinai School of Medicine Internal Medicine CurrentSince Apr 22, 2024 Accepting new patients
Galen Inpatient Physicians PC Internal Medicine CurrentSince Apr 7, 2025 Accepting new patients
Fort Edward Rescue Squad Inc Past Accepting new patients
South Nassau Communities Hospital Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

600 Roe Ave
Elmira, NY 14905
Phone (607) 733-3639

600 Roe Ave
Ste 1F
Elmira, NY 14905
Phone (607) 795-8161

16303 Horace Harding Expy
Fl 2
Fresh Meadows, NY 11365
Phone (718) 888-9121

300 Community Dr
Manhasset, NY 11030

1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

101 Hospital Rd
Rm 263
Patchogue, NY 11772
Phone (631) 687-4131

241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

900 Franklin Ave
Valley Stream, NY 11580
Phone (516) 256-6000

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Networks

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

Interoperability endpoints

  • Direct secure messaging: jancion26530@direct.xtensys.com
  • Direct secure messaging: jancion4125974@direct.trinity-health.org

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 19

Hospital & facility affiliations 4

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": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1265609127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10418 220TH ST",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114292145",
            "telephone_number": "917-204-9723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4213 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112033011",
            "telephone_number": "718-287-0868",
            "fax_number": "718-287-1375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANCION",
        "first_name": "JEAN",
        "middle_name": "HEROLD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-09",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "245310",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CT",
            "license": "53543",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "245310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03054428",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.