Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1275801219 Individual Practitioner Female Practitioner

Dr. Johane Gildade Boursiquot , MD

General Practice • Bronx, NY

Professional Overview & Biography Verified Profile Summary

Dr. Johane Boursiquot, MD is a registered healthcare professional specializing in General Practice in Bronx, NY. Practice services are available at 2015 GRAND CONCOURSE under active NPI credentials.

Frequently performed procedures and clinical services include subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, initial nursing facility visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2015 Grand Concourse

Bronx, NY 104534303

Telephone 7182997295
Fax 7182996797
Associated Practice Facility / Clinic
🏢 Essen Medical Associates, Pc Facility NPI 1366418709

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Bronx, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.0 Yrs
State Avg: 30.3 Yrs
Regional Practice Density
86 Specialists

Practicing in Bronx, NY (818 Statewide)

Telehealth Adoption Rate
8.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
34.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
55 28 $121.33 $79.70
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
31 23 $159.00 $104.59
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes
17 16 $78.00 $50.56

Medical Specialties & State Licenses

CMS Verified: 2021-01-01
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License NY 277201

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License PA MT205076

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Practice Locations

2015 Grand Concourse

Bronx, NY 104534303

Phone: 7182997295

7924 Jamaica Ave

Woodhaven, NY 114211801

Phone: 7188050037

150 Riverside Dr

New York, NY 100242298

Phone: 6465053500

515 Madison Ave Ste 9083

New York, NY 100225403

Phone: 7189547338

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Mana Rao , MD

Internal Medicine - Infectious Disease

NPI 1003162686

Doctor of Medicine (M.D.)

Tandika Boatswain , NP

Nurse Practitioner - Family

NPI 1003163742

Nurse Practitioner

Dr. Keshav Teelucksingh , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1003164179

Doctor of Medicine (M.D.)

Latoya Betton , NP

Nurse Practitioner - Family

NPI 1003170275

Nurse Practitioner

Cynthia Jean

Nurse Practitioner - Family

NPI 1003278623
Rashana Thompson , NP, RN

Nurse Practitioner - Family

NPI 1003303561

Nurse Practitioner, Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

18 Historical Events
📍
Updated Practice Location March 19, 2021

Registered at 2015 GRAND CONCOURSE, BRONX, NY 104534303 (Tel: 7182997295)

📍
Updated Business Mailing Address March 19, 2021

Registered at 1436 WILLIAMSBRIDGE RD, BRONX, NY 104612507 (Tel: 7186180401)

📍
Updated Practice Location February 06, 2020

Registered at 150 RIVERSIDE DR, NEW YORK, NY 100242298 (Tel: 6465053500)

📍
Updated Business Mailing Address February 06, 2020

Registered at 150 EILEEN WAY UNIT 1, SYOSSET, NY 117915313 (Tel: 5168555255)

📍
Updated Practice Location August 13, 2019

Registered at 7924 JAMAICA AVE, WOODHAVEN, NY 114211801 (Tel: 7188050037)

NPI Profile Active July 20, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 20, 2017

Registered at 2015 GRAND CONCOURSE, BRONX, NY 104534303 (Tel: 7182997295)

📍
Updated Business Mailing Address July 20, 2017

Registered at 3198 GRAND CONCOURSE, BRONX, NY 10458 (Tel: 7186180401)

👤
Provider Name / Credentials Updated July 20, 2017

Recorded as JOHANE BOURSIQUOT, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2017

Family Medicine (License #MT205076 in PA)

📍
Updated Practice Location June 20, 2017

Registered at 2015 GRAND CONCOURSE, BRONX, NY 104534303 (Tel: 7182997295)

📍
Updated Business Mailing Address June 20, 2017

Registered at 3198 GRAND CONCOURSE, BRONX, NY 10458 (Tel: 7186180401)

NPI Profile Active June 21, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location June 21, 2013

Registered at 1730 CHEW ST, ALLENTOWN, PA 181045549 (Tel: 6109693500)

📍
Updated Business Mailing Address June 21, 2013

Registered at 1730 CHEW ST, ALLENTOWN, PA 181045549 (Tel: 6109693500)

👤
Provider Name / Credentials Updated June 21, 2013

Recorded as JOHANE BOURSIQUOT, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2013

Family Medicine (License #MT205076 in PA)

🟢
Initial NPI Registration & Enumeration December 06, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275801219
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 06, 2011
Last Update: March 19, 2021
Sole Proprietor: No

Mailing Address

1436 Williamsbridge Rd

Bronx, NY 104612507

Phone: 7186180401

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.