Individual provider Active NPI

Ernst Jean, M.D.

  • General Practice Physician
  • Jamaica, NY
National Provider Identifier
1659559052
Registry record updated Jul 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
166351 Issued in NY
Practice address
87-59 171St St
Jamaica, NY 11432-4554
Phone
(718) 523-2200
Fax
(718) 523-2210
NPI assigned
Feb 7, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 166351 NY Primary

Addresses

Primary practice location

87-59 171St St
Jamaica, NY 11432-4554

Mailing address

87-59 171St St
Jamaica, NY 11432-4554
Phone (718) 523-2200

Other identifiers 1

IdentifierTypeStateIssuer
01119286MedicaidNY

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
I20110916000008 NY Practitioner - General Practice 4880865146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vocational Instruction Project Community Services, Inc.Group PAC ID 7315949062, 11 clinicians

Practice addresses (Care Compare)

770 E 176TH St
Bronx, NY 10460-4617
Phone (718) 583-5150

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
166351NYMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Queens Village Committee for Mental Health for J-Cap, Inc Past Accepting new patients
Richard S Pinnock DPM PC Past Accepting new patients

Networks

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246924800000",
    "number": "1659559052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87-59 171ST ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324554",
            "telephone_number": "718-523-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87-59 171ST ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324554",
            "telephone_number": "718-523-2200",
            "fax_number": "718-523-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN",
        "first_name": "ERNST",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-07",
        "last_updated": "2009-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "166351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01119286",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.