Lori Diamond Jacobs, M.S.ED

Primary specialty

SpecialistTaxonomy code 174400000X

License

509850041 Issued in NY

Practice address

420 95TH St
Brooklyn, NY 11209-7404

Phone

(718) 680-9751

NPI assigned

Jun 7, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339027200000",
    "number": "1003177882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2229 KNAPP ST",
            "address_2": "5A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295766",
            "telephone_number": "718-382-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 95TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112097404",
            "telephone_number": "718-680-9751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "LORI",
        "middle_name": "DIAMOND",
        "credential": "M.S.ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-07",
        "last_updated": "2012-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "509850041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine Devora Jacobs, AU.D.
• Emily Jacobs, LCSW
• Fradie Jacobs
• Jordan Jacobs
• Lily Jacobs
• Mallory Jacobs
• Michele Lois Jacobs, OTR
• Norma Nickole Jacobs, R.N.
• Rebecca Jacobs
• Sarah Jacobs

• Specialist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.