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

Active since April 22, 2020PECOS EnrolledAccepts Medicare Assignment
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: November 01, 2026.

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, is affiliated with Strong Memorial Hospital, and is a graduate of University Of Rochester School Of Medicine And Dentistry (2020).

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
Fax(585) 756-5189
Sole ProprietorYes
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 2020
Enumeration DateApril 22, 2020
NPPES CertifiedApril 22, 2020
✔ NPI 1114547957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Maxime Junior Jean Md/phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416371091
PECOS Enrollment IDI20240515001547
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Maxime Jean reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neurology
601 ELMWOOD AVE, BOX 278984
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 211 clinicians in this Medicare group
General Acute Care Hospital
601 ELMWOOD AVE, BOX 684
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 1,624 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

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.

Physician Assistant
601 ELMWOOD AVE
ROCHESTER, NY 14642
Pediatrics (Neonatal-Perinatal Medicine)
601 ELMWOOD AVE, BOX 635
ROCHESTER, NY 14642
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE, BOX 648
ROCHESTER, NY 14642
Nurse Practitioner (Family)
601 ELMWOOD AVE, BOX 652
ROCHESTER, NY 14642
Urology (Pediatric Urology)
601 ELMWOOD AVE, BOX 656
ROCHESTER, NY 14642
Nurse Practitioner (Adult Health)
601 ELMWOOD AVE, BOX 704
ROCHESTER, NY 14642
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVE, BOX 705
ROCHESTER, NY 14642
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE
ROCHESTER, NY 14642

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Maxime Jean's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maxime Jean reassigns Medicare benefits to 2 organizations: U Of R Neurology Department (Rochester, NY) and University Of Rochester (Rochester, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maxime Jean's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Maxime Jean affiliated with any hospitals?

According to CMS data, Maxime Jean is affiliated with Strong Memorial Hospital.

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.