JEAN ROBERT DESROULEAUX MD
NPI 1609809169
Radiology - Neuroradiology in Valley Stream, NY

Q: What is Jean Desrouleaux's NPI number?

The NPI number for Jean Desrouleaux is 1609809169. It was assigned to this individual provider in the NPPES registry on July 8, 2006.

Q: What is Jean Desrouleaux's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Neuroradiology, with taxonomy code 2085N0700X.

Q: When was this NPI record last updated?

The NPPES record for Jean Desrouleaux was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 July 08, 2006PECOS Enrolled

900 FRANKLIN AVE, VALLEY STREAM, NY 11580(800) 376-5566 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jean Robert Desrouleaux Md NPPES

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

JEAN ROBERT DESROULEAUX MD (NPI 1609809169) is an individual neuroradiology provider in Valley Stream, New York, licensed in New York (181744) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609809169

Entity TypeIndividualMale

Primary Taxonomy2085N0700X

Provider Legal NameJEAN ROBERT DESROULEAUXCredential: MD

Location Address900 FRANKLIN AVEValley Stream, NY 11580-2145

Mailing AddressPo Box 33354Hartford, CT 06150-3354 · (800) 376-5566

Phone(800) 376-5566

Sole ProprietorNo

Enumeration DateJuly 8, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1609809169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · NeuroradiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085N0700X

License✔ Licensed in NY · 181744

Definition

A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.

900 FRANKLIN AVE, Valley Stream, NY 11580

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Other Identifiers 3

Medicare UPINF60686NY

Medicare ID-Type Unspecified74H731NY

Medicaid01485318NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jean Robert Desrouleaux Md 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.

JOVANNA MICOLE LINNEN M.D.

Anesthesiology