Individual provider Active NPI

Jean Michel Pierre Louis, MD

  • Medical Physician Assistant
  • Suffern, NY
National Provider Identifier
1366174468
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
001303-P.A. Issued in PR
Practice address
10 Chestnut St Apt A203
Suffern, NY 10901-5446
Phone
(184) 559-8819
NPI assigned
Jun 28, 2022
Last updated
Jun 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X EL09241 NH
Medical Physician Assistant 363AM0700X TS0001272. IN
Medical Physician Assistant 363AM0700X 001303-P.A. PR Primary

Addresses

Primary practice location

10 Chestnut St Apt A203
Suffern, NY 10901-5446

Mailing address

10 Chestnut St Apt A203
Suffern, NY 10901-5446
Phone (184) 559-8816

Other practice location 1

259 N Middletown Rd
Nanuet, NY 10954-1220
Phone (845) 624-7200

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TS0001272.INMDMedical Physician Assistant
EL09241NHMDMedical Physician Assistant
001303-P.A.PRMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1366174468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CHESTNUT ST APT A203",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109015446",
            "telephone_number": "184-559-8816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CHESTNUT ST APT A203",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109015446",
            "telephone_number": "184-559-8819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "259 N Middletown Rd",
            "address_purpose": "LOCATION",
            "city": "Nanuet",
            "state": "NY",
            "postal_code": "109541220",
            "country_code": "US",
            "telephone_number": "845-624-7200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIERRE LOUIS",
        "first_name": "JEAN",
        "middle_name": "MICHEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NH",
            "license": "EL09241",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IN",
            "license": "TS0001272.",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PR",
            "license": "001303-P.A.",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffern, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.