Individual provider Active NPI

Joelle Pierre, MD

  • Pediatric Surgery Physician
  • Mineola, NY
National Provider Identifier
1528265279
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
25MA08979700 Issued in NJ
Practice address
120 Mineola Blvd Ste 210
Mineola, NY 11501-4077
Phone
(516) 663-4600
NPI assigned
Jun 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery Physician 2086S0120X 25MA08979700 NJ Primary

Addresses

Primary practice location

120 Mineola Blvd Ste 210
Mineola, NY 11501-4077

Mailing address

PO Box 19 One Robert Wood Johnson Place
Department of Pediatric Surgery
New Brunswick, NJ 08903-0019
Phone (732) 235-7821

Other practice location 1

One Robert Wood Johnson Place
Department of Pediatric Surgery
New Brunswick, NJ 08903
Phone (732) 235-7821

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jpierrejean483063@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220312000032 NY Practitioner - Pediatric Medicine 1456527621 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08979700NJMDPediatric Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Jan 17, 2022 Accepting new patients
New York University CurrentSince Jan 17, 2022 Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients
NYU Langone Hospitals Past Accepting new patients

Locations

451 Clarkson Ave
#R
Brooklyn, NY 11203
Phone (718) 245-2306

1111 Franklin Ave
Garden City, NY 11530
Phone (516) 222-8600

120 Mineola Blvd
Ste 210
Mineola, NY 11501
Phone (516) 663-4600

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

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

Interoperability endpoints

  • Direct secure messaging: jpierrejean483063@nyumc.direct-ci.com
  • Direct secure messaging: jpierre18168@epicdirect.rwjbh.org
  • Direct secure messaging: jpierre4332169@nychhc.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1528265279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19 ONE ROBERT WOOD JOHNSON PLACE",
            "address_2": "DEPARTMENT OF PEDIATRIC SURGERY",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089030019",
            "telephone_number": "732-235-7821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MINEOLA BLVD STE 210",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014077",
            "telephone_number": "516-663-4600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "One Robert Wood Johnson Place",
            "address_2": "Department of Pediatric Surgery",
            "address_purpose": "LOCATION",
            "city": "New Brunswick",
            "state": "NJ",
            "postal_code": "08903",
            "country_code": "US",
            "telephone_number": "732-235-7821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIERRE",
        "first_name": "JOELLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "NJ",
            "license": "25MA08979700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jpierrejean483063@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "120 Mineola Blvd Ste 210",
            "city": "Mineola",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115014077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

Verify at the official NPI Registry.