Active NPI
Jean Herold Ancion, M.D.
- Internal Medicine Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 245310
- 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, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03054428 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Queens Medicine and Surgery, P.C. | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Internal Medicine | Current | Accepting new patients |
| Arnot Ogden Medical Center | Current | Accepting new patients | |
| Southwest Suffolk Medical, P.C. | Current | Accepting new patients | |
| Galen Inpatient Physicians PC | Hospitalist | Current | 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 | Current | Accepting new patients | |
| New York Medical Physician Associates PC | Hospitalist | Current | Accepting new patients |
| New York Medical Physician Associates PC | Internal Medicine | Current | Accepting new patients |
| New York Queens Medicine and Surgery, P.C. | Current | Accepting new patients | |
| Southwest Suffolk Medical PC | Current | Accepting new patients | |
| Arnot Ogden Medical Center | Current | Accepting new patients | |
| Brookview Medical Associates, PLLC | Current | Accepting new patients | |
| Mount Sinai School of Medicine | Internal Medicine | Current | Accepting new patients |
| Galen Inpatient Physicians PC | Internal Medicine | Current | 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
- jancion26530@direct.xtensys.com
- 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.
-
- General Acute Care Hospital
- Elmira, NY
- NPI 1083605661
-
dba Mount Sinai Marathon Medical
- Internal Medicine Physician
- Oceanside, NY
- NPI 1508127531
-
- General Practice Physician
- Bohemia, NY
- NPI 1871965855
-
- Hospitalist Physician
- Poughkeepsie, NY
- NPI 1578316501
Internal Medicine
-
dba Newyork-Presbyterian Medical Group/Queens
- Pediatrics Physician
- Fresh Meadows, NY
- NPI 1003114851
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
Internal Medicine
-
- Surgical Oncology Physician
- Smithtown, NY
- NPI 1104096049
-
- Specialist
- Queens Village, NY
- NPI 1831450881
-
- Community/Retail Pharmacy
- Elmira, NY
- NPI 1831875004
-
- Psychiatry Physician
- Hempstead, NY
- NPI 1508333956
-
- Internal Medicine Physician
- Oceanside, NY
- NPI 1891262093
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Brooklyn, NY
- NPI 1770513145
-
- General Acute Care Hospital
- Elmira, NY
- NPI 1083605661
-
- General Acute Care Hospital
- Ithaca, NY
- NPI 1962422733
-
- General Acute Care Hospital
- Oceanside, NY
- NPI 1922079094
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.