Individual provider Active NPI

Carolyne Jean-Philippe, MD

  • Pediatrics Physician
  • Rockville Centre, NY
National Provider Identifier
1912134404
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
275171 Issued in NY
Practice address
350 Sunrise Hwy
Rockville Centre, NY 11570-4908
Phone
(516) 763-4764
NPI assigned
Jun 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 275171 NY Primary
Pediatrics Physician 208000000X 25MA08595500 NJ

Addresses

Primary practice location

350 Sunrise Hwy
Rockville Centre, NY 11570-4908

Mailing address

192 Franklin Ave
Malverne, NY 11565-1934
Phone (973) 687-5113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090730000390 NJ Practitioner - Pediatric Medicine 3476606930 Reassigns benefits to 2 organizations
I20161228001658 NY Practitioner - Pediatric Medicine 3476606930 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08595500NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Middlesex Emergency Physicians, P.a. Emergency Medicine CurrentSince Jul 1, 2009 Accepting new patients
Emergency Physician Associates of North Jersey P C Emergency Medicine CurrentSince Jul 1, 2009 Accepting new patients
Coney Island Medical Practice Plan, P.C. CurrentSince Oct 16, 2016 Accepting new patients
Physician Affiliate Group of New York PC CurrentSince Mar 1, 2024 Accepting new patients
PM Pediatrics of Bayside PLLC Past Accepting new patients
PM Pediatrics of Mamaroneck Past Accepting new patients
Night Lite Pediatric Center, LLC Pediatrics Past Accepting new patients
Allied Physicians Group, PLLC Pediatrics Past Accepting new patients
PM Pediatrics of Selden Past Accepting new patients
PM Pediatrics PC Pediatrics Past Accepting new patients
PM Pediatrics of Bayside, PLLC Past Accepting new patients

Locations

65 James St
Edison, NJ 08820
Phone (732) 321-7010

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

307 S Evergreen Ave
Woodbury, NJ 08096
Phone (856) 686-4300

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: carolyne.jeanphilippe@pmuc.eclinicaldirectplus.com

Organizations & group practices 11

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": "1244678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1912134404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 FRANKLIN AVE",
            "city": "MALVERNE",
            "state": "NY",
            "postal_code": "115651934",
            "telephone_number": "973-687-5113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 SUNRISE HWY",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704908",
            "telephone_number": "516-763-4764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN-PHILIPPE",
        "first_name": "CAROLYNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-11",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "275171",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA08595500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

Verify at the official NPI Registry.