Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Jean Omega Fleurgin, FNP

Individual provider Family Nurse Practitioner · NPI 1063276715

Mr. Jean Omega Fleurgin, FNP is a Nurse Practitioner in Mamaroneck, New York. Qualified in 2023, 3 years ago. Practices with Suffolk Primary Health LLC, a 29-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida and New York.

Years since qualifying
3
Licensed in
FL, NY
In the registry since
2024
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

845 Palmer Ave
Mamaroneck, NY 10543-2406
Phone: (201) 667-8117
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 353908 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 11030937 (FL)

Record details

NPI number1063276715
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorYes
NPI enumeratedFebruary 12, 2024
Last updated in NPPESAugust 5, 2024
Certification dateApril 13, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Suffolk Primary Health Llc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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