Active NPI
Gabrielle Vincenza Jakub
- Occupational Therapist
- Summit, NJ
National Provider Identifier
1003304494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 417 Morris Ave Apt 40
Summit, NJ 07901-1554 - Phone
- (908) 721-1054
- NPI assigned
- May 1, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
417 Morris Ave Apt 40
Summit, NJ 07901-1554
Mailing address
417 Morris Ave Apt 40
Summit, NJ 07901-1554
Phone (908) 721-1054
Other practice location 1
333 Elmwood Ave
Maplewood, NJ 07040-2491
Phone (973) 762-5050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686441600000",
"number": "1003304494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 MORRIS AVE APT 40",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079011554",
"telephone_number": "908-721-1054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 MORRIS AVE APT 40",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079011554",
"telephone_number": "908-721-1054"
}
],
"practiceLocations": [
{
"address_1": "333 Elmwood Ave",
"address_purpose": "LOCATION",
"city": "Maplewood",
"state": "NJ",
"postal_code": "070402491",
"country_code": "US",
"telephone_number": "973-762-5050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAKUB",
"first_name": "GABRIELLE",
"middle_name": "VINCENZA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-01",
"last_updated": "2023-06-11",
"certification_date": "2023-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Summit, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.