Organization Active NPI

Jacob Lichy MD and Thomas Kolb MD PC

  • Specialist
  • New York, NY
National Provider Identifier
1023398377
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
122218 Issued in NY
Legal business name
JACOB LICHY MD AND THOMAS KOLB MD PC
Practice address
52 E 78TH St
New York, NY 10075-1810
Phone
(212) 879-4488
NPI assigned
Aug 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2011

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

Authorized official

Name
Jacob Lichy, MD
Title
Provider
Phone
(212) 879-4488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 122218 NY Primary

Addresses

Primary practice location

52 E 78TH St
New York, NY 10075-1810

Mailing address

222 E 68TH St
New York, NY 10065-6001
Phone (212) 879-4488

National Provider Directory

National Provider Directory
Tax ID family
Jacob Lichy MD and Thomas Kolb MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313625600000",
    "number": "1023398377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 E 68TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656001",
            "telephone_number": "212-879-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 E 78TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751810",
            "telephone_number": "212-879-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB LICHY MD AND THOMAS KOLB MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-18",
        "last_updated": "2011-08-18",
        "status": "A",
        "authorized_official_last_name": "LICHY",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "212-879-4488",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "122218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; 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.