Active NPI
Joel Rigueur, M.D.
- Psychiatry Physician
- Brooklyn, NY
National Provider Identifier
1710938915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 65206-20
- Practice address
- 148 Wilson Ave
Brooklyn, NY 11237-3149 - Phone
- (718) 455-5500
- Fax
- (718) 455-8700
- NPI assigned
- May 12, 2006
- Last updated
- Oct 9, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 185121-1 | NY | |
| Psychiatry Physician | 2084P0800X | 65206-20 | WI | Primary |
Addresses
Primary practice location
148 Wilson Ave
Brooklyn, NY 11237-3149
Mailing address
1300 South Drive
Winnebago, WI 54985
Phone (920) 235-4910
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02574298 | 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 |
|---|---|---|---|
| 185121-1 | NY | MD | Pediatrics Physician |
| 65206-20 | WI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Health Care and Rehabilitation Services, LLC | Past | Accepting new patients |
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.
-
- Clinic/Center
- Brooklyn, NY
- NPI 1063462273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507507200000",
"number": "1710938915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 SOUTH DRIVE",
"city": "WINNEBAGO",
"state": "WI",
"postal_code": "54985",
"telephone_number": "920-235-4910",
"fax_number": "920-236-2937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 WILSON AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112373149",
"telephone_number": "718-455-5500",
"fax_number": "718-455-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIGUEUR",
"first_name": "JOEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2017-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "185121-1",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WI",
"license": "65206-20",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02574298",
"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 Oct 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.