Individual provider Active NPI

Ginelle Dora Saint Jean

  • Family Nurse Practitioner
  • Eastchester, NY
National Provider Identifier
1689219313
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
358417 Issued in NY
Practice address
375 White Plains Rd
Eastchester, NY 10709-2826
Phone
(866) 389-2727
NPI assigned
Nov 18, 2019
Last updated
Apr 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 333895 AZ
Family Nurse Practitioner 363LF0000X 0024196391 VA
Family Nurse Practitioner 363LF0000X 209035107 IL
Family Nurse Practitioner 363LF0000X 358417 NY Primary
Family Nurse Practitioner 363LF0000X 4704437336 MI
Family Nurse Practitioner 363LF0000X 0105755-C-NP CO
Family Nurse Practitioner 363LF0000X 26NJ15544300 NJ
Family Nurse Practitioner 363LF0000X 40755 TN
Family Nurse Practitioner 363LF0000X 0041289 OH
Family Nurse Practitioner 363LF0000X APN.31483 SC
Family Nurse Practitioner 363LF0000X NP004507 GA
Family Nurse Practitioner 363LF0000X AC008685 MD
Family Nurse Practitioner 363LF0000X 11005056 FL
Family Nurse Practitioner 363LF0000X SP035447 PA
Family Nurse Practitioner 363LF0000X RN10037274 MA

Addresses

Primary practice location

375 White Plains Rd
Eastchester, NY 10709-2826

Mailing address

PO Box 772
Belfast, ME 04915-0772
Phone (866) 389-2727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250128000147 FL Practitioner - Nurse Practitioner 4981133543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 772
Woonsocket, RI 02895

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
333895AZMDFamily Nurse Practitioner
0105755-C-NPCOMDFamily Nurse Practitioner
11005056FLMDFamily Nurse Practitioner
NP004507GAMDFamily Nurse Practitioner
209035107ILMDFamily Nurse Practitioner
RN10037274MAMDFamily Nurse Practitioner
AC008685MDMDFamily Nurse Practitioner
4704437336MIMDFamily Nurse Practitioner
26NJ15544300NJMDFamily Nurse Practitioner
358417NYMDFamily Nurse Practitioner
0041289OHMDFamily Nurse Practitioner
SP035447PAMDFamily Nurse Practitioner
APN.31483SCMDFamily Nurse Practitioner
40755TNMDFamily Nurse Practitioner
0024196391VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Radial Health Southeast LLC CurrentSince Dec 20, 2024 Accepting new patients

Locations

2000 E Commercial Blvd
Ft Lauderdale, FL 33308
Phone (954) 771-2300

2939 S Haverhill Rd
West Palm Beach, FL 33415
Phone (561) 641-3130

2675 N Andrews Ave
Wilton Manors, FL 33311
Phone (954) 563-4711

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1689219313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049150772",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 WHITE PLAINS RD",
            "city": "EASTCHESTER",
            "state": "NY",
            "postal_code": "107092826",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAINT JEAN",
        "first_name": "GINELLE",
        "middle_name": "DORA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-18",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "333895",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024196391",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209035107",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "358417",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704437336",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0105755-C-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15544300",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "40755",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0041289",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "APN.31483",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "NP004507",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC008685",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11005056",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP035447",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN10037274",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastchester, NY

Sources for this page

Verify at the official NPI Registry.