Individual provider Active NPI

Gary Emmanuel Jean-Baptiste, M.D.

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1770525735
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
203706 Issued in NY
Practice address
375 Carlton Ave
Brooklyn, NY 11238-1014
Phone
(718) 398-8000
Fax
(718) 398-8051
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 203706 NY Primary

Addresses

Primary practice location

375 Carlton Ave
Brooklyn, NY 11238-1014

Mailing address

375 Carlton Ave
Brooklyn, NY 11238-1014
Phone (718) 398-8000

Other identifiers 1

IdentifierTypeStateIssuer
01925548MedicaidNY

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
I20040710000109 NY Practitioner - Family PracticePractitioner - Preventive MedicinePractitioner - Hospice/Palliative CarePractitioner - Sports Medicine 8325026958 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospice/Palliative Care, Preventive Medicine, Sports Medicine
Education
Howard University College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

375 Carlton Ave
Brooklyn, NY 11238-1014

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
JB Medical PC Family Medicine CurrentSince Sep 24, 2024 Accepting new patients
North Eastern Network, Inc, Family Medicine CurrentSince May 25, 1999 Accepting new patients

Locations

178 Flatbush Ave
Brooklyn, NY 11217
Phone (718) 398-8000

Networks

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

Interoperability endpoints

  • Direct secure messaging: gjbmd@neni-ny.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1770525735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 CARLTON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112381014",
            "telephone_number": "718-398-8000",
            "fax_number": "718-398-8051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 CARLTON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112381014",
            "telephone_number": "718-398-8000",
            "fax_number": "718-398-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN-BAPTISTE",
        "first_name": "GARY",
        "middle_name": "EMMANUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "203706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01925548",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.