Individual provider Active NPI

Jean-Luc Neptune, MD

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1437472545
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
212047 Issued in NY
Practice address
39 W 29TH St FL 11
New York, NY 10001-4249
Phone
(646) 906-8869
Fax
(646) 871-6880
NPI assigned
Mar 3, 2010
Last updated
May 19, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 212047 NY Primary

Addresses

Primary practice location

39 W 29TH St FL 11
New York, NY 10001-4249

Mailing address

740 W End Ave
Apartment 56
New York, NY 10025-6246
Phone (212) 316-9585

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
212047NYMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1437472545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 W END AVE",
            "address_2": "APARTMENT 56",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256246",
            "telephone_number": "212-316-9585",
            "fax_number": "212-316-9585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 W 29TH ST FL 11",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100014249",
            "telephone_number": "646-906-8869",
            "fax_number": "646-871-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEPTUNE",
        "first_name": "JEAN-LUC",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-03",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "212047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.