Active NPI
William Jacobowitz, MSN., R.N., EDD
- Mental Health Counselor
- Syosset, NY
National Provider Identifier
1114216520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 339849-1
- Practice address
- 34 Patricia LN
Syosset, NY 11791-5824 - Phone
- (516) 974-3311
- NPI assigned
- Apr 6, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 339849-1 | NY | Primary |
Addresses
Primary practice location
34 Patricia LN
Syosset, NY 11791-5824
Mailing address
34 Patricia Lane
Syosset, NY 11791
Phone (516) 974-3311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 339849 | NY | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318982400000",
"number": "1114216520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 PATRICIA LANE",
"city": "SYOSSET",
"state": "NY",
"postal_code": "11791",
"telephone_number": "516-974-3311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 PATRICIA LN",
"city": "SYOSSET",
"state": "NY",
"postal_code": "117915824",
"telephone_number": "516-974-3311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBOWITZ",
"first_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "MSN., R.N., EDD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-04-06",
"last_updated": "2011-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "339849-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Syosset, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.