Jean-Yves Dastain, M.D.

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

139442 Issued in FL

Practice address

1250 Tamiami TRL N Ste 104
Naples, FL 34102-5267

Phone

(239) 234-4482

Fax

(833) 563-2420

NPI assigned

Apr 6, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, FL2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Four Corners Medical PC

  • Internal Medicine Physician
  • Richmond Hill, NY
  • NPI 1356071526
  Medicare reassignment NPD Authorized official
• Essen Medical Associates, PC

  • Legal Medicine
  • Bronx, NY
  • NPI 1366418709
  Medicare reassignment NPD
• Essen Medical Urgicare, PLLC

  • Urgent Care Clinic/Center
  • Bronx, NY
  • NPI 1841607298
  Medicare reassignment NPD
• SV Operating Three LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Staten Island, NY
  • NPI 1396003182
  Medicare reassignment NPD
• Bronx Medical Practice P.C.

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1356726087
  Medicare reassignment
• Lakay Iphanita Klinik, PLLC

  • Primary Care Clinic/Center
  • Naples, FL
  • NPI 1245078856
  NPD
• Essen Medical Associates, PC

  • Podiatrist
  • Bronx, NY
  • NPI 1720799158
  NPD
• Vava Partners LLC

  • Primary Care Clinic/Center
  • Naples, FL
  • NPI 1669859674
  NPD (past)

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

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1417213299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 TAMIAMI TRL NTH",
            "address_2": "# 104",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34102",
            "telephone_number": "239-234-4482",
            "fax_number": "833-563-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 TAMIAMI TRL N STE 104",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025267",
            "telephone_number": "239-234-4482",
            "fax_number": "833-563-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASTAIN",
        "first_name": "JEAN-YVES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-06",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "139442",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "FL",
            "license": "139442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03537804",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darrow Chiropractic Clinic Inc.
• Joanna Marie Darrow, PA-C
• Michael John Darrow, DC
• Tulay Darstek, MD
• Dawson James Dascani, APRN
• Carrie Daugherty
• Nancy T Dauphinais
• Alejandra Maria Davanzo Lopez
• Michele L Dave, PT, DPT
• Jeremy William Davey, DMD

• Procedural Dermatology Physician in Naples, FL
• Providers in Naples, FL by specialty
• Procedural Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.