Active NPI
Jean Francois Max Thomas, M.D.
- Ophthalmology Physician
- Brooklyn, NY
National Provider Identifier
1962424614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 150833
- Practice address
- 1437 Flatbush Ave
Brooklyn, NY 11210-2330 - Phone
- (718) 421-6175
- Fax
- (718) 421-6175
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 150833 | NY | Primary |
Addresses
Primary practice location
1437 Flatbush Ave
Brooklyn, NY 11210-2330
Mailing address
502 Longacre Ave
Woodmere, NY 11598-2308
Phone (718) 421-6175
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00809756 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150833 | NY | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962424614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 LONGACRE AVE",
"city": "WOODMERE",
"state": "NY",
"postal_code": "115982308",
"telephone_number": "718-421-6175",
"fax_number": "718-421-6175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1437 FLATBUSH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112102330",
"telephone_number": "718-421-6175",
"fax_number": "718-421-6175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "JEAN FRANCOIS MAX",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "150833",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00809756",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.