Individual provider Active NPI

Carine Jean-Louis, ANP

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1912390949
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
306942 Issued in NY
Practice address
5205 Church Ave FL 2
Brooklyn, NY 11203-3513
Phone
(718) 240-8500
Fax
(347) 350-5491
NPI assigned
Mar 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 306942 NY Primary

Addresses

Primary practice location

5205 Church Ave FL 2
Brooklyn, NY 11203-3513

Mailing address

1 Brookdale PLZ
Brooklyn, NY 11212-3139

Other practice location 1

391 Eastern Pkwy
Brooklyn, NY 11216-4570
Phone (718) 240-8586

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
I20150609000684 NY Practitioner - Nurse Practitioner 8527389055 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TBHC Medical Services PCGroup PAC ID 1850281916, 33 clinicians

Practice addresses (Care Compare)

121 Dekalb Ave
Brooklyn, NY 11201-5425
Phone (718) 250-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
306942NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brookdale Hospital Medical Center CurrentSince Jun 1, 2021 Accepting new patients
Advantagecare Physicians PC CurrentSince Dec 25, 2017 Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Jun 1, 2021 Accepting new patients
Advantagecare Physicians PC CurrentSince Dec 25, 2017 Accepting new patients
TBHC Medical Services PC CurrentSince Nov 14, 2022 Accepting new patients
TBHC Physician Services PC PastSince May 15, 2026 Accepting new patients

Locations

523 Fulton St
Ste 2
Brooklyn, NY 11201
Phone (718) 250-8425

835 Herkimer St
Brooklyn, NY 11233
Phone (718) 221-2600

140 Saint Edwards St
Brooklyn, NY 11201
Phone (718) 858-6400

86 Saint Felix St
Fl 10
Brooklyn, NY 11217
Phone (718) 250-8103

101 Pennsylvania Ave
Brooklyn, NY 11207
Phone (718) 240-2000

121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604

514 Fulton St
Brooklyn, NY 11201

55 Greene Ave
Brooklyn, NY 11238
Phone (718) 789-5900

155 Dean St
Brooklyn, NY 11217
Phone (718) 694-6700

99 Division Ave
Brooklyn, NY 11249
Phone (718) 349-8500

740 64th St
Brooklyn, NY 11220
Phone (718) 439-2000

1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212

55 Greene Ave
Ste Lla
Brooklyn, NY 11238
Phone (718) 230-7676

14 Hanover Pl
Brooklyn, NY 11201
Phone (718) 250-8866

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

1280 DeKalb Ave
Brooklyn, NY 11221
Phone (718) 455-9000

520 Prospect Pl
Brooklyn, NY 11238
Phone (718) 230-3555

5205 Church Ave
Fl 2
Brooklyn, NY 11203
Phone (718) 485-4111

86 Saint Felix St
Fl 9
Brooklyn, NY 11217
Phone (718) 250-6100

810 Saint Marks Ave
Brooklyn, NY 11213
Phone (718) 467-7300

546 Eastern Pkwy
Brooklyn, NY 11225
Phone (718) 604-4800

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

55 Water St
Fl 2
New York, NY 10041

7506 Liberty Ave
Ozone Park, NY 11417
Phone (516) 528-3909

Networks

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

Interoperability endpoints

  • Direct secure messaging: cjeanlouis19229@prd.direct.tbh.org
  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4

Organizations & group practices 6

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 1

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": "1426464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1912390949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BROOKDALE PLZ",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112123139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5205 CHURCH AVE FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112033513",
            "telephone_number": "718-240-8500",
            "fax_number": "347-350-5491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "391 Eastern Pkwy",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112164570",
            "country_code": "US",
            "telephone_number": "718-240-8586",
            "fax_number": "347-663-4360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEAN-LOUIS",
        "first_name": "CARINE",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-16",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "306942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.