Organization Active NPI

Ernst F Jean MD PC

  • Specialist
  • Jamaica, NY
National Provider Identifier
1972675601
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
166351 Issued in NY
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

Updated by the provider on Jan 31, 2008

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
01119286MedicaidNY

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.