MAXIME JUNIOR JEAN MD/PHD
NPI 1114547957
Student in an Organized Health Care Education/Training Program in Rochester, NY

Q: What is Maxime Jean's NPI number?

The NPI number for Maxime Jean is 1114547957. It was assigned to this individual provider in the NPPES registry on April 22, 2020.

Q: What is Maxime Jean's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Maxime Jean was last updated on April 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 22, 2020PECOS Enrolled

601 ELMWOOD AVE, NEUROLOGY CLINIC 681, ROCHESTER, NY 14642(585) 275-1200(585) 756-5189 Get Directions Write a Review

NPPES record last updated: April 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Maxime Junior Jean Md/phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAXIME JUNIOR JEAN MD/PHD (NPI 1114547957) is an individual student in an organized health care education/training program in Rochester, New York and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114547957

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMAXIME JUNIOR JEANCredential: MD/PHD

Location Address601 ELMWOOD AVE, NEUROLOGY CLINIC 681Rochester, NY 14642

Mailing Address93 Smyles DrRochester, NY 14609-3130 · (786) 283-0874

Phone(585) 275-1200

Fax(585) 756-5189

Sole ProprietorYes

Enumeration DateApril 22, 2020

NPPES CertifiedApril 22, 2020

✔ NPI 1114547957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

601 ELMWOOD AVE, Rochester, NY 14642

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maxime Junior Jean Md/phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARIE E BRADT RPA-C

Physician Assistant

601 ELMWOOD AVE
ROCHESTER, NY 14642

Monroe County (585) 275-6070

DR. RITA DADIZ DO

Pediatrics (Neonatal-Perinatal Medicine)

601 ELMWOOD AVE, BOX 635
ROCHESTER, NY 14642

Monroe County (585) 275-7787

DR. SCOTT ROSS SCHIFFMAN M.D.

Radiology (Diagnostic Radiology)

601 ELMWOOD AVE, BOX 648
ROCHESTER, NY 14642

Monroe County (585) 275-1128

SARAH ANNE ROSSI FNP

Nurse Practitioner (Family)

601 ELMWOOD AVE, BOX 652
ROCHESTER, NY 14642

Monroe County (585) 279-5100

JIMENA CUBILLOS MD

Urology (Pediatric Urology)

601 ELMWOOD AVE, BOX 656
ROCHESTER, NY 14642

Monroe County (585) 275-3342

MRS. ANNE SCHERBERGER KEEFER RN NP

Nurse Practitioner (Adult Health)

601 ELMWOOD AVE, BOX 704
ROCHESTER, NY 14642

Monroe County (585) 275-5307

SCOTT OVERHOLT DDS

Student in an Organized Health Care Education/Training Program

601 ELMWOOD AVE, BOX 705
ROCHESTER, NY 14642

Monroe County (585) 275-7978

MS. SARAH L AVERILL MD

Radiology (Diagnostic Radiology)

601 ELMWOOD AVE
ROCHESTER, NY 14642

Monroe County (585) 275-2100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maxime Jean's NPI number?

The NPI number for Maxime Jean is 1114547957. It was assigned to this individual provider in the NPPES registry on April 22, 2020.

Where is Maxime Jean located?

Maxime Jean practices at 601 Elmwood Ave Neurology Clinic 681, Rochester, NY 14642. The listed phone number is (585) 275-1200.

What is Maxime Jean's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Maxime Jean enrolled in Medicare?

Yes. Maxime Jean is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Maxime Jean was last updated on April 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.