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DR. JOHANE GILDADE BOURSIQUOT M.D.
NPI 1275801219
General Practice in Bronx, NY

Active since December 06, 2011PECOS Enrolled
2015 GRAND CONCOURSE, BRONX, NY 10453(718) 299-7295(718) 299-6797 Get Directions Write a Review

NPPES record last updated: March 19, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 19, 2021, Feb 6, 2020, Aug 13, 2019 and 2 more (5 updates tracked since 2017).

About Dr. Johane Gildade Boursiquot M.d. NPPES

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

DR. JOHANE GILDADE BOURSIQUOT M.D. (NPI 1275801219) is an individual general practice provider in Bronx, New York, licensed in New York (277201) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1275801219
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. JOHANE GILDADE BOURSIQUOTCredential: M.D.
Location Address2015 GRAND CONCOURSEBronx, NY 10453-4303
Mailing Address1436 Williamsbridge RdBronx, NY 10461-2507 · (718) 618-0401 · Fax (347) 479-1303
Phone(718) 299-7295
Fax(718) 299-6797
Sole ProprietorNo
Enumeration DateDecember 6, 2011
Last NPPES UpdateMarch 19, 20215 updates tracked since enumeration
NPPES CertifiedJanuary 1, 2021
✔ NPI 1275801219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NY · 277201
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedFamily MedicineTaxonomy 207Q00000X · License MT205076 (PA)
2015 GRAND CONCOURSE, Bronx, NY 10453
Open in Google Maps ↗

Secondary Practice Locations 4

Location 12015 Grand ConcourseBronx, NY 10453-4303 · Phone (718) 299-7295 · Fax (718) 299-6797
Location 27924 Jamaica AveWoodhaven, NY 11421-1801 · Phone (718) 805-0037 · Fax (347) 960-9468
Location 3150 Riverside DrNew York, NY 10024-2298 · Phone (646) 505-3500
Location 4515 Madison Ave Ste 9083New York, NY 10022-5403 · Phone (718) 954-7338 · Fax (877) 319-1942

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Johane Gildade Boursiquot M.d. 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.

Medicare Billing Reassignments

6

Medicare enrollment records show Johane Boursiquot reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Essen Medical Associates, PC
Same address
Legal Medicine
2015 GRAND CONCOURSE
Bronx, NY 10453
  • Reassigned Medicare billing, New York enrollment
  • 1,393 clinicians in this Medicare group
NPI 1366418709 (718) 583-7736
Essen Medical Urgicare, PLLC
1.0 mi
Urgent Care
1550 UNIVERSITY AVE
Bronx, NY 10452
  • Reassigned Medicare billing, New York enrollment
  • 683 clinicians in this Medicare group
NPI 1841607298 (718) 583-7736
Bronx Medical Practice P.C.
3.2 mi
Internal Medicine
2626 HALPERIN AVE
Bronx, NY 10461
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Bronx Medical Practice PC
  • 1,013 clinicians in this Medicare group
NPI 1356726087 (646) 340-1309
House Call Medical Services Of New York, PLLC
3.4 mi
Internal Medicine
1371 SEABURY AVE
Bronx, NY 10461
  • Reassigned Medicare billing, New York enrollment
  • 1,054 clinicians in this Medicare group
NPI 1851345946 (718) 294-6200
Hicksville Family Medical Care, PLLC
16 mi
Family Medicine
135 MINEOLA BLVD STE B
Mineola, NY 11501
  • Reassigned Medicare billing, New York enrollment
  • 64 clinicians in this Medicare group
NPI 1770813792 (917) 410-6990
Island Urgent Care PLLC
21 mi
Urgent Care
2310 HEMPSTEAD TPKE
East Meadow, NY 11554
  • Reassigned Medicare billing, New York enrollment
  • 22 clinicians in this Medicare group
NPI 1376991414 (516) 346-5090

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

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.

MANA RAO M.D.
Internal Medicine (Infectious Disease)
2015 GRAND CONCOURSE
BRONX, NY 10453
Bronx County (718) 299-7295
TANDIKA BOATSWAIN NP
Nurse Practitioner (Family)
2015 GRAND CONCOURSE
BRONX, NY 10453
Bronx County (718) 299-7295
DR. KESHAV TEELUCKSINGH MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2015 GRAND CONCOURSE
BRONX, NY 10453
Bronx County (718) 299-7295
LATOYA BETTON NP
Nurse Practitioner (Family)
2015 GRAND CONCOURSE
BRONX, NY 10453
Bronx County (718) 299-7295
CYNTHIA JEAN
Nurse Practitioner (Family)
2015 GRAND CONCOURSE
BRONX, NY 10453
Bronx County (718) 299-7295
MS. RASHANA P THOMPSON NP, RN
Nurse Practitioner (Family)
2015 GRAND CONCOURSE
BRONX, NY 10453
Bronx County (718) 299-7295
PAUL CHEN DO
Family Medicine
2015 GRAND CONCOURSE
BRONX, NY 10453
Bronx County (718) 299-7295
JOY MARIE SHAKELTON WHNP-BC, CRNP
Nurse Practitioner (Women's Health)
2015 GRAND CONCOURSE
BRONX, NY 10453
Bronx County (718) 583-7736

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 Johane Boursiquot's NPI number?

The NPI number for Johane Boursiquot is 1275801219. It was assigned to this individual provider in the NPPES registry on December 6, 2011.

Where is Johane Boursiquot located?

Johane Boursiquot practices at 2015 Grand Concourse, Bronx, NY 10453. The listed phone number is (718) 299-7295.

What is Johane Boursiquot's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Johane Boursiquot enrolled in Medicare?

Yes. Johane Boursiquot is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Johane Boursiquot's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Johane Boursiquot reassigns Medicare benefits to 6 organizations: Essen Medical Associates, PC (Bronx, NY), Essen Medical Urgicare, PLLC (Bronx, NY), Bronx Medical Practice P.C. (Bronx, NY), House Call Medical Services Of New York, PLLC (Bronx, NY), Hicksville Family Medical Care, PLLC (Mineola, NY) and 1 more organization, listed in the Medicare section above. 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 Johane Boursiquot's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Johane Boursiquot was last updated on March 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.