Individual provider Active NPI

Jean-Jeffrey Marcellus, N.P.

  • Adult Health Nurse Practitioner
  • Rockville Centre, NY
National Provider Identifier
1881906766
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
305892 Issued in NY
Practice address
265 Sunrise Hwy Ste 1-726
Rockville Centre, NY 11570-4912
Phone
(516) 728-0672
NPI assigned
Jul 8, 2010
Last updated
Feb 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 305892 NY Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 404910 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95020542 CA

Addresses

Primary practice location

265 Sunrise Hwy Ste 1-726
Rockville Centre, NY 11570-4912

Mailing address

22 Mitchell Dr
Monroe Township, NJ 08831-7902
Phone (917) 322-1663

Other practice location 1

15 2nd Ave Fl 3
Brooklyn, NY 11215-2711
Phone (718) 514-6007

Other names 1

  • Jean-Jeffrey Marcellus Professional name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120913000000 NY Practitioner - Nurse Practitioner 7214185404 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Revcore Recovery Center of Manhattan LLCGroup PAC ID 7517344278, 8 clinicians

Practice addresses (Care Compare)

15 2ND Ave
FL 3
Brooklyn, NY 11215-2711
Phone (917) 406-8744

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95020542CAMDPsychiatric/Mental Health Nurse Practitioner
404910NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Mar 5, 2024 Accepting new patients
Revcore Recovery Center of Manhattan, LLC CurrentSince Jan 1, 2025 Accepting new patients
North American Partners in Anesthesia LLP CurrentSince Oct 1, 2021 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Mar 5, 2024 Accepting new patients
Marcellus Regisitered Prof Nurse and Nurse Practitioner in Adult Healt Adult Health CurrentSince Jun 4, 2023 Accepting new patients
Weill Medical College of Cornell Past Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients

Locations

15 2nd Ave
Fl 3
Brooklyn, NY 11215
Phone (718) 514-6007

1325 Franklin Ave
Garden City, NY 11530
Phone (516) 536-1818

1425 Madison Ave
New York, NY 10029
Phone (212) 824-8150

265 Sunrise Hwy
Ste 1726
Rockville Centre, NY 11570
Phone (516) 728-0672

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 7

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 2

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": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1881906766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 MITCHELL DR",
            "city": "MONROE TOWNSHIP",
            "state": "NJ",
            "postal_code": "088317902",
            "telephone_number": "917-322-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 SUNRISE HWY STE 1-726",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704912",
            "telephone_number": "516-728-0672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 2nd Ave Fl 3",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112152711",
            "country_code": "US",
            "telephone_number": "718-514-6007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCELLUS",
        "first_name": "JEAN-JEFFREY",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-08",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "305892",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "404910",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95020542",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEAN-JEFFREY",
            "last_name": "MARCELLUS",
            "credential": "N.P",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Rockville Centre, NY

Sources for this page

Verify at the official NPI Registry.