Jigger Tabuclin

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

664080-01 Issued in NY

Practice address

5409 100TH St Apt 411
Corona, NY 11368-3778

Phone

(134) 765-6633

NPI assigned

Aug 28, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1003691304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 BROADHOLLOW RD STE 200",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474833",
            "telephone_number": "631-759-9692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5409 100TH ST APT 411",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113683778",
            "telephone_number": "134-765-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABUCLIN",
        "first_name": "JIGGER",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "664080-01",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "664080-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick Sun, PT, DPT
• Sunrise Medical PC
• Won Sunwoo
• Support Evaluation and Intervention Services LCSW P.C
• Synergy Physical Therapy & Chiropractic PLLC
• Stephanie Tacopina, PHD
• Brianlee Sacares Taculod, PT
• Taimur Ahmad D.O.
• Lai Lai Tam
• Sze Ting Tam

• Registered Nurse in Corona, NY
• Providers in Corona, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.

Verify at the official NPI Registry.