Jean Louis

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

35 Eason Dr
Ridge, NY 11961-3111

Phone

(631) 345-6501

Fax

(718) 307-5547

NPI assigned

Jun 26, 2014

Sex

Male

Sole proprietor

Yes

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.

• Sanjah Corp.

  • Early Intervention Provider Agency
  • Ridge, NY
  • NPI 1427300896
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 26, 2014.

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403740800000",
    "number": "1780099804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 EASON DR",
            "city": "RIDGE",
            "state": "NY",
            "postal_code": "119613111",
            "telephone_number": "631-345-6501",
            "fax_number": "718-307-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 EASON DR",
            "city": "RIDGE",
            "state": "NY",
            "postal_code": "119613111",
            "telephone_number": "631-345-6501",
            "fax_number": "718-307-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUIS",
        "first_name": "JEAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leisure Village Medical Services PLLC
• Barbara Frances Lenihan, OT
• Leo F Katz
• Lillian K Lewars, CNM
• Rachael Leeann Lewis, LPN
• Ruth Louissaint
• Stephanie C Lyerly
• John Paul Mahon, LCSW
• Jessie A Mahoney
• Jennifer M Maier, DOULA

• All providers in Ridge, NY
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.