Stanley S. Jacobs

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

PS002284L Issued in PA

Legal business name

STANLEY S. JACOBS

Practice address

2619 Trenton Rd
#40
Levittown, PA 19056-1428

Phone

(215) 499-4968

NPI assigned

Sep 19, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Stanley S. Jacobs, PH.D.

Title

Owner

Phone

(215) 499-4968

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474416000000",
    "number": "1104374248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2619 TRENTON RD",
            "address_2": "#40",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190561428",
            "telephone_number": "215-499-4968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2619 TRENTON RD",
            "address_2": "#40",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190561428",
            "telephone_number": "215-499-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY S. JACOBS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-19",
        "last_updated": "2016-09-21",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-499-4968",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "PA",
            "license": "PS002284L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF PA PSYCHOLOGIST'S LICENSE",
            "identifier": "PS002284L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Levittown, PA
• Providers in Levittown, PA by specialty
• Assisted Living Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; 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.