Active NPI
Max Jean-Gilles, M.D.
- Gynecology Physician
- Brooklyn, NY
National Provider Identifier
1770677353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 165341
- Practice address
- 160 Parkside Avenue
Suite 1de
Brooklyn, NY 11226 - Phone
- (718) 469-5157
- Fax
- (718) 940-6819
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 165341 | NY | Primary |
Addresses
Primary practice location
160 Parkside Avenue
Suite 1de
Brooklyn, NY 11226
Mailing address
2 Tamara Court
Melville, NY 11747-1146
Phone (631) 643-5382
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Women'S Medical Care Services, P.C. | Current | Accepting new patients | |
| Interfaith Professional Physician Services, P.C. | Gynecology | Current | Accepting new patients |
| Nyc Medical Doctor P.C. | Current | Accepting new patients |
Locations
1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175
699 Stanley Ave
Brooklyn, NY 11207
Phone (347) 689-8880
14843 Hillside Ave
Jamaica, NY 11435
Phone (646) 509-7410
20507 Hillside Ave
Jamaica, NY 11423
Phone (718) 454-4973
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FFEIAA/Endpoint/FFEIAA
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.
-
- Allergy Physician
- Brooklyn, NY
- NPI 1457643991
Gynecology
-
- Geriatric Medicine (Internal Medicine) Physician
- Brooklyn, NY
- NPI 1831489798
-
- Corporate Health Clinic/Center
- Melville, NY
- NPI 1255649950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770677353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 TAMARA COURT",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117471146",
"telephone_number": "631-643-5382",
"fax_number": "718-264-2744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 PARKSIDE AVENUE",
"address_2": "SUITE 1DE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11226",
"telephone_number": "718-469-5157",
"fax_number": "718-940-6819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEAN-GILLES",
"first_name": "MAX",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NY",
"license": "165341",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.