Dr Jose T Paul, MD - Medicare General Surgery in Flushing, NY

Dr Jose T Paul, MD is a medicare enrolled "Surgery" physician in Flushing, New York. He graduated from medical school in 1982 and has 42 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice North Shore - Lij Medical Pc and his current practice location is 140-15 Sanford Ave, Flushing, New York. You can reach out to his office (for appointments etc.) via phone at (718) 670-6400.

Dr Jose T Paul is licensed to practice in New York (license number 187523) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1821032590.

Contact Information

Dr Jose T Paul, MD
140-15 Sanford Ave,
Flushing, NY 11355
(718) 670-6400
(718) 640-6479

Map and Direction




Physician's Profile

Full NameDr Jose T Paul
GenderMale
SpecialityGeneral Surgery
Experience42 Years
Location140-15 Sanford Ave, Flushing, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jose T Paul graduated from medical school in 1982
  NPI Data:
  • NPI Number: 1821032590
  • Provider Enumeration Date: 06/15/2006
  • Last Update Date: 03/30/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 5991727323
  • Enrollment ID: I20051228000344

Medical Identifiers

Medical identifiers for Dr Jose T Paul such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821032590NPI-NPPES
01504732MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 187523 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Long Island Jewish Medical CenterNew hyde park, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Shore - Lij Medical Pc33757015685120

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jose T Paul allows following entities to bill medicare on his behalf.
Entity NameNorth Shore - Lij Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jose T Paul is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jose T Paul, MD
441 9th Ave Fl 3,
New York, NY 10001-1623

Ph: (646) 680-2888
Dr Jose T Paul, MD
140-15 Sanford Ave,
Flushing, NY 11355

Ph: (718) 670-6400

Reviews and Comments


Surgery Doctors in Flushing, NY

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Dr. Rafael Fazylov, MD
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Phone: 718-445-0220    Fax: 718-939-1167

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.