Jean Rollin Paul Jr.

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1626 Putney Rd
Valley Stream, NY 11580-1818

Phone

(844) 321-2775

Fax

(929) 900-1522

NPI assigned

Dec 7, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512604800000",
    "number": "1891200259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 PUTNEY RD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115801818",
            "telephone_number": "844-321-2775",
            "fax_number": "929-900-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 PUTNEY RD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115801818",
            "telephone_number": "844-321-2775",
            "fax_number": "929-900-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "JEAN",
        "middle_name": "ROLLIN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-07",
        "last_updated": "2017-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Patrice-Durisile
• Robin L Patrick
• Patriot Family Medical Associates PLLC
• Nadine Patterson, LCSW-R
• Ashley Paul
• Jessica Paul
• Reginald Paul Jr.
• Jessica Paulin, LMSW
• Isaac Pearlman, DDS
• Dana Peck

• Case Manager/Care Coordinator in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; 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.