Individual provider Active NPI

Max Jean-Gilles, M.D.

  • Gynecology Physician
  • Brooklyn, NY
National Provider Identifier
1770677353
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
165341 Issued in NY
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110125000281 NY Practitioner - Obstetrics/Gynecology 4284813189 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Medical Care Services, P.C. CurrentSince Nov 15, 2010 Accepting new patients
Interfaith Professional Physician Services, P.C. Gynecology CurrentSince Feb 1, 2012 Accepting new patients
Nyc Medical Doctor P.C. CurrentSince Jul 1, 2014 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.