Jean Robert Desrouleaux MD,PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

181744 Issued in NY

Legal business name

JEAN ROBERT DESROULEAUX MD,PC

Practice address

175 Fulton Ave
Suite 208
Hempstead, NY 11550-3718

Phone

(516) 292-7443

Fax

(516) 483-7847

NPI assigned

Aug 20, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jean-Robert Desrouleaux, M.D.

Title

President

Phone

(516) 292-7443

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1588811665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 GRACE LANE",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117714020",
            "telephone_number": "516-292-7443",
            "fax_number": "516-483-7847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 FULTON AVE",
            "address_2": "SUITE 208",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503718",
            "telephone_number": "516-292-7443",
            "fax_number": "516-483-7847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEAN ROBERT DESROULEAUX MD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "DESROULEAUX",
        "authorized_official_first_name": "JEAN-ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-292-7443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "181744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01485318",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leah Margret Jarvis
• Diane Jaworski Petito, CPNP
• Armelle Jean Baptiste
• Juvenise Jean Baptiste
• Marie Jean Marie Blaise
• Phanessa Jean, NP
• Gabriel Jeanithe Charles
• Marie Paul Jeanty, LMSW
• Jamall T Jenkins, LMSW
• Tameka M Jenkins, MS.ED, BS, AAS

• Neurology Physician in Hempstead, NY
• Providers in Hempstead, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.