Jordan Jacobs, RN

Primary specialty

Plastic Surgery Registered NurseTaxonomy code 163WS0121X

License

717202 Issued in NY

Practice address

1136 Route 9W S
Nyack, NY 10960-4826

Phone

(212) 517-1855

NPI assigned

Oct 29, 2020

Sex

Female

Sole proprietor

Yes

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

Registered Nurse

State licenses

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1114527157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 233",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109600233",
            "telephone_number": "212-517-1855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 ROUTE 9W S",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109604826",
            "telephone_number": "212-517-1855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "JORDAN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0121X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Plastic Surgery",
            "state": "NY",
            "license": "717202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lydia Isak, COTA
• Jenna Iseman, LMHC
• Israel Cohen L.C.S.W.,P.C.
• Tziporah B. Israel, P.A.
• Jeremy Jacobowitz, MD
• Diana J Jacobson, LCSW
• Robyn Jacobson, PSY.D.
• Jonathan Jakus, MD
• Donald Dale James, LCSW, CASAC
• Stephan Jean-Pierre

• Registered Nurse in Nyack, NY
• Providers in Nyack, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.