Jacobi Medical Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

236436 Issued in NY

Legal business name

JACOBI MEDICAL CENTER

Practice address

1400 Pelham Parkway South Jacobi Medical Center
1400 Pelham Parkway, Acp, 5TH Floor, RM A32
Bronx, NY 10461

Phone

(718) 918-5747

Fax

(718) 918-7035

NPI assigned

Feb 20, 2007

Organization subpart

No

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

Authorized official

Name

Evia Alikaj Nano, M.D.

Title

Primary Care Physician

Phone

(718) 918-5747

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033253166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 CHARLES ST",
            "city": "NEW MILFORD",
            "state": "NJ",
            "postal_code": "076461802",
            "telephone_number": "201-261-2462",
            "fax_number": "718-918-7935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 PELHAM PARKWAY SOUTH JACOBI MEDICAL CENTER",
            "address_2": "1400 PELHAM PARKWAY, ACP, 5TH FLOOR, RM A32",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10461",
            "telephone_number": "718-918-5747",
            "fax_number": "718-918-7035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOBI MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALIKAJ NANO",
        "authorized_official_first_name": "EVIA",
        "authorized_official_title_or_position": "PRIMARY CARE PHYSICIAN",
        "authorized_official_telephone_number": "718-918-5747",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "236436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raimol Jacob, NP
• Sherin Jacob, PHARMD, BCPS
• Subi Jacob
• Teena Jacob
• Viju Jacob
• Jacobi Medical Center
• Jacobi Medical Center
• Jacobi Medical Center
• Jacobi Medical Center
• Jacobi Medical Center

• Clinic/Center in Bronx, NY
• Providers in Bronx, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.