Individual provider Active NPI

Marjorie Jean-Michel, M.D.

  • Gynecology Physician
  • Bronx, NY
National Provider Identifier
1770546939
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
250376 Issued in NY
Practice address
1650 Grand Concourse
Department of OB/GYN, 5TH Floor
Bronx, NY 10457-7606
Phone
(718) 239-8389
Fax
(718) 239-8360
NPI assigned
Apr 10, 2006
Last updated
Jan 20, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME0094120 FL
Gynecology Physician 207VG0400X 250376 NY Primary

Addresses

Primary practice location

1650 Grand Concourse
Department of OB/GYN, 5TH Floor
Bronx, NY 10457-7606

Mailing address

1650 Grand Concourse
Department of OB/GYN, 5TH Floor
Bronx, NY 10457-7606
Phone (718) 239-8389

Other identifiers 1

IdentifierTypeStateIssuer
273690000MedicaidFL

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
I20081222000227 NY Practitioner - Obstetrics/GynecologyPractitioner - Urology 9537194857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Urology
Education
JS Weill Medical College, Cornell University, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bronxcare Health SystemGroup PAC ID 3870404429, 335 clinicians

Practice addresses (Care Compare)

1650 Grand Concourse
Bronx, NY 10457-7606

199 Mount Eden Pkwy
Bronx, NY 10457-7703

199 Mount Eden Pkwy 3
Bronx Lebanon Ambulatory Care
Bronx, NY 10457-7703
Phone (718) 992-7669

199 Mount Eden Pkwy 3Rd
Bronx Lebanon Ambulatory Care
Bronx, NY 10457-7703
Phone (718) 992-7669

199 Mount Eden Pkwy Floor
3 Bronx Lebanon Healthandwellness Center
Bronx, NY 10457-7703
Phone (718) 992-7669

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0094120FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bronxcare Health System Current Accepting new patients
Bronxcare Health System CurrentSince Sep 22, 2008 Accepting new patients
Bronxcare Health System CurrentSince Sep 22, 2008 Accepting new patients
Bronxcare Health System Past Accepting new patients

Locations

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

1650 Grand Concourse
Fl 5
Bronx, NY 10457
Phone (718) 239-8383

Networks

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

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232409600000",
    "number": "1770546939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 GRAND CONCOURSE",
            "address_2": "DEPARTMENT OF OB/GYN, 5TH FLOOR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104577606",
            "telephone_number": "718-239-8389",
            "fax_number": "718-239-8360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 GRAND CONCOURSE",
            "address_2": "DEPARTMENT OF OB/GYN, 5TH FLOOR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104577606",
            "telephone_number": "718-239-8389",
            "fax_number": "718-239-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN-MICHEL",
        "first_name": "MARJORIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2009-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME0094120",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "250376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273690000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.