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JAE MIN M.D.
NPI 1932419017
Pediatrics - Neonatal-Perinatal Medicine in Brooklyn, NY

Active since October 07, 2010PECOS Enrolled
450 CLARKSON AVENUE, SUITE B4-333, BROOKLYN, NY 11203(718) 270-4714(718) 270-1985 Get Directions Write a Review

NPPES record last updated: October 7, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jae Min M.d. NPPES

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

JAE MIN M.D. (NPI 1932419017) is an individual neonatal-perinatal medicine provider in Brooklyn, New York, licensed in New York (258063) and active in the NPI registry since October 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932419017
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameJAE MINCredential: M.D.
Location Address450 CLARKSON AVENUE, SUITE B4-333Brooklyn, NY 11203
Mailing Address450 Clarkson Avenue, Suite B4-333Brooklyn, NY 11203 · (718) 270-4714 · Fax (718) 270-1985
Phone(718) 270-4714
Fax(718) 270-1985
Sole ProprietorNo
Enumeration DateOctober 7, 2010
✔ NPI 1932419017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in NY · 258063
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
450 CLARKSON AVENUE, Brooklyn, NY 11203
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jae Min 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

2

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

Brookdale Hospital Medical Center
0.2 mi
General Acute Care Hospital
1 BROOKDALE PLZ STE 666
Brooklyn, NY 11212
  • Reassigned Medicare billing, New York enrollment
  • 782 clinicians in this Medicare group
NPI 1720028772 (718) 240-8352
Interfaith Professional Physician Services, P.C.
1.6 mi
Surgery
1545 ATLANTIC AVENUE, FACULTY PRACTICE
Brooklyn, NY 11213
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Interfaith Professional Physician Services PC
  • 635 clinicians in this Medicare group
NPI 1457643991 (718) 240-8352

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.

DR. EMAD ABDULLAH SHABANA MD
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVENUE, SUNY DOWNSTATE MEDICAL CENTER
BROOKLYN, NY 11203
Kings County (718) 245-4799
MADELINE CLAIRE BREDA MD
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVENUE, OBSTETRICS AND GYNECOLOGY
BROOKLYN, NY 11203
Kings County (718) 270-3320
DR. JOSHUA SALAMA MD
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVENUE, DEPARTMENT OF INTERNAL MEDICINE
BROOKLYN, NY 11203
Kings County (718) 270-2353
DIMPY MODY M.D.
Pediatrics
450 CLARKSON AVENUE, SUNY DOWNSTATE MEDICAL CENTER, PEDIATRICS
BROOKLYN, NY 11203
Kings County (718) 270-2078
MR. XAVIER RAUL AGUAYO ARGUELLO M.D.
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVENUE
BROOKLYN, NY 11203
Kings County (646) 323-4531
DANIEL GLOTSER DO
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVENUE, ANESTHESIOLOGY DEPARTMENT
BROOKLYN, NY 11203
Kings County (718) 270-3764
DILBAGH SINGH
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVENUE, DEPARTMENT OF SURGERY
BROOKLYN, NY 11203
Kings County (718) 270-3302
ZAHID IMRAN
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVENUE, SUNY DOWNSTATE ( INTERNAL MEDICINE)
BROOKLYN, NY 11203
Kings County (718) 270-1566

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 Jae Min's NPI number?

The NPI number for Jae Min is 1932419017. It was assigned to this individual provider in the NPPES registry on October 7, 2010.

Where is Jae Min located?

Jae Min practices at 450 Clarkson Avenue Suite B4-333, Brooklyn, NY 11203. The listed phone number is (718) 270-4714.

What is Jae Min's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Jae Min enrolled in Medicare?

Yes. Jae Min is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jae Min's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jae Min reassigns Medicare benefits to 2 organizations: Brookdale Hospital Medical Center (Brooklyn, NY) and Interfaith Professional Physician Services, P.C. (Brooklyn, 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 Jae Min'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 Jae Min was last updated on October 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.