Active NPIIndividual providerSole proprietor

Mr. Jean Omega Fleurgin, FNP

Nurse Practitioner, Family in Mamaroneck, New York

NPI Number1063276715
Practice location
845 Palmer Ave, Mamaroneck, NY 10543-2406
Fax
—
Last updated
August 5, 2024

Jean Omega Fleurgin is a Nurse Practitioner, Family based in Mamaroneck, NY. Jean Omega Fleurgin practices in Mamaroneck, NY and has the professional credentials of FNP. The NPI Number for Jean Omega Fleurgin is 1063276715 and holds a License No. 353908 (NY). The current practice location address for Jean Omega Fleurgin is 845 Palmer Ave, Mamaroneck, NY 10543-2406 and can be reached out via phone at 201-667-8117.

Provider Profile Details

NPI Number
1063276715
Provider Name
Jean Omega Fleurgin
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
845 Palmer Ave, Mamaroneck, NY 10543-2406
Phone Number
201-667-8117
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Other Names
Jean Fleurgin, FNP (Professional Name)
Provider Enumeration Date
February 12, 2024
Last Update Date
August 5, 2024
Certification Date
April 13, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
845 Palmer Ave
Mamaroneck, NY 10543-2406
Zip
10543-2406
Phone Number
201-667-8117
Mamaroneck, NY 10543Get directions →

Provider Business Mailing Address Details

Address
726 Essex Ave
Linden, NJ 07036-2625
City
Linden
State
NJ
Zip
07036-2625
Phone Number
201-667-8117

License Information

License Number (1)
353908
License State (1)
NY
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X · Primary
License Number (2)
11030937
License State (2)
FL
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Jean Omega Fleurgin, FNP?

The NPI number of Mr. Jean Omega Fleurgin, FNP is 1063276715. It was assigned on February 12, 2024 and is currently active in the NPPES registry.

What is the specialty of Mr. Jean Omega Fleurgin, FNP?

Mr. Jean Omega Fleurgin, FNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NY under license number 353908.

Where does Mr. Jean Omega Fleurgin, FNP practice?

The practice location is 845 Palmer Ave, Mamaroneck, NY 10543-2406. The office can be reached at 201-667-8117 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063276715 directly on the NPPES registry website.

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