Active NPI
Jean-Claude Desrosiers, M.D.
- Family Medicine Physician
- Brooklyn, NY
National Provider Identifier
1578713806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 259032
- Practice address
- 450 Clarkson Ave
Brooklyn, NY 11203 - Phone
- (718) 856-4469
- NPI assigned
- Sep 23, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 259032 | NY | Primary |
Addresses
Primary practice location
450 Clarkson Ave
Brooklyn, NY 11203
Mailing address
592 Rockaway Ave
Brooklyn, NY 11212-5539
Phone (718) 856-4469
Other practice location 1
450 Clarkson Ave
Brooklyn, NY 11203-2056
Phone (718) 856-4469
Other practice location 2
360 Snediker Ave
Brooklyn, NY 11207-4552
Phone (718) 345-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03608913 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 259032 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brownsville Community Development Corporation | Past | Accepting new patients | |
| Forest Hills Dermatology Group PLLC | Past | Accepting new patients | |
| RLD Medical Services, PC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba BMS @ Genesis
- Federally Qualified Health Center (FQHC)
- Brooklyn, NY
- NPI 1275722340
-
- Dermatology Physician
- Kew Gardens, NY
- NPI 1225309586
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1609986934
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531180800000",
"number": "1578713806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "592 ROCKAWAY AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112125539",
"telephone_number": "718-856-4469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 CLARKSON AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11203",
"telephone_number": "718-856-4469"
}
],
"practiceLocations": [
{
"address_1": "450 Clarkson Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112032056",
"country_code": "US",
"telephone_number": "718-856-4469",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "360 Snediker Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112074552",
"country_code": "US",
"telephone_number": "718-345-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DESROSIERS",
"first_name": "JEAN-CLAUDE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-23",
"last_updated": "2018-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "259032",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03608913",
"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 Jul 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.