Active NPI
Ernst F Jean MD PC
- Specialist
- Jamaica, NY
National Provider Identifier
1972675601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 166351
- Legal business name
- ERNST F JEAN MD PC
- Practice address
- 8759 171St St
Jamaica, NY 11432-4554 - Phone
- (718) 523-2200
- NPI assigned
- Nov 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ernst F Jean
- Title
- Sole Proprietor
- Phone
- (718) 523-2200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 166351 | NY | Primary |
Addresses
Primary practice location
8759 171St St
Jamaica, NY 11432-4554
Mailing address
8759 171St St
Jamaica, NY 11432-4554
Phone (718) 523-2200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01119286 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
8759 171st St
#1
Jamaica, NY 11432
Phone (718) 291-4111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201737600000",
"number": "1972675601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8759 171ST ST",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114324554",
"telephone_number": "718-523-2200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8759 171ST ST",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114324554",
"telephone_number": "718-523-2200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ERNST F JEAN MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-15",
"last_updated": "2008-01-31",
"status": "A",
"authorized_official_last_name": "JEAN",
"authorized_official_first_name": "ERNST",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "SOLE PROPRIETOR",
"authorized_official_telephone_number": "718-523-2200"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NY",
"license": "166351",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01119286",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.