Jean Robert Desrouleaux, MD

Primary specialty

Neuroradiology PhysicianTaxonomy code 2085N0700X

License

181744 Issued in NY

Practice address

900 Franklin Ave
Valley Stream, NY 11580-2145

Phone

(800) 376-5566

NPI assigned

Jul 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

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.

• Mercy Internal Medicine PC

  • Internal Medicine Physician
  • Rockville Centre, NY
  • NPI 1376734079
  Medicare reassignment NPD
• Franklin Hospital

  • General Acute Care Hospital
  • Valley Stream, NY
  • NPI 1528075108
  NPD (past)
• Franklin Hospital Radiology

  • Diagnostic Radiology Physician
  • Valley Stream, NY
  • NPI 1184713109
  NPD (past)

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609809169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33354",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061503354",
            "telephone_number": "800-376-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 FRANKLIN AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115802145",
            "telephone_number": "800-376-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESROULEAUX",
        "first_name": "JEAN",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NY",
            "license": "181744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01485318",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eneq Desepoli, D.C.
• Designing Futures Inc.
• Designing Futures, Inc.
• Desiree Hopkinson Nurse Practitioner in Psychiatry PC
• Fresnel Desroches
• Michael Destefano, CASAC-T, BSW
• Rose Deus, LPN
• Elana Deutscher, NP
• Robert Michael Devivo
• Litika Dewan

• Neuroradiology Physician in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Neuroradiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.