IndividualActive
Jean Marc Boucicault
NPI 1396053500 · Licensed Practical Nurse · Queens Village, NY
Jean Marc Boucicault is a Licensed Practical Nurse provider in Queens Village, NY (NPI 1396053500).
Provider details
- NPI number
- 1396053500
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 301439 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
21211 102nd Ave
Apt C4
Queens Village, NY 11429-1106
Phone: (718) 468-8298
Street-level locationGet directions
Mailing address
21211 102nd Ave
Queens Village, NY 11429-1106
Registry dates
- Enumerated
- 2010-09-22
- Last updated
- 2010-09-22
Frequently asked questions
- What is Jean Marc Boucicault's NPI number?
- Jean Marc Boucicault's National Provider Identifier (NPI) is 1396053500, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jean Marc Boucicault's specialty?
- Jean Marc Boucicault is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Jean Marc Boucicault located?
- Jean Marc Boucicault's practice location on file with NPPES is 21211 102nd Ave, Queens Village, NY 11429-1106.
- What is Jean Marc Boucicault's phone number?
- The practice phone number listed in the NPPES registry for Jean Marc Boucicault is (718) 468-8298.
- Is Jean Marc Boucicault's NPI active?
- Yes — Jean Marc Boucicault's NPI (1396053500) is active in the NPPES registry as of the last update on 2010-09-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.