Debra Jacobson, M.A. SPED

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

523 Arlene St
Staten Island, NY 10314-3815

Phone

(347) 200-1361

NPI assigned

Jun 12, 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

Credentials

Master of Arts

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1083976336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 ARLENE ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143815",
            "telephone_number": "347-200-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 ARLENE ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143815",
            "telephone_number": "347-200-1361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "DEBRA",
        "name_prefix": "Ms.",
        "credential": "M.A. SPED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smrithy Jacob, MD
• Stacy Jacob
• Marlis Jacobi, RN
• Derienne Lynne Jacobowitz
• Jessica Jacobs
• Erin Meade Jacobson, OTR/L
• Esther Sharon Jacobson, LCSW
• Esther Jacoby, MS CCC-SLP
• Jacqueline Shall-McCumiskey, Psy.D. Mindful Practice
• Angnieszka Jaczynski, RN

• Specialist in Staten Island, NY
• Providers in Staten Island, 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 12, 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.