Individual provider Active NPI

Sydney Jacoby, FNP-BC

  • Family Nurse Practitioner
  • Garden City, NY
National Provider Identifier
1114648649
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F349792-01 Issued in NY
Practice address
54 New Hyde Park Rd
Garden City, NY 11530-3909
Phone
(516) 488-1313
NPI assigned
Sep 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F349792-01 NY Primary

Addresses

Primary practice location

54 New Hyde Park Rd
Garden City, NY 11530-3909

Mailing address

54 New Hyde Park Rd
Garden City, NY 11530-3909
Phone (516) 488-1313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230531003073 NY Practitioner - Nurse Practitioner 3678930955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joseph Onorato MD PCGroup PAC ID 6800801655, 14 clinicians

Practice addresses (Care Compare)

54 New Hyde Park Rd
Garden City, NY 11530-3909
Phone (516) 488-1313

Merit-based Incentive Payment System (MIPS)

Final score
93.82 of 100Reported as group
Quality
87.63
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F349792-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph Onorato M.D., P.C. CurrentSince May 11, 2023 Accepting new patients
Joseph Onorato M.D., P.C. CurrentSince May 11, 2023 Accepting new patients

Locations

54 New Hyde Park Rd
Garden City, NY 11530
Phone (516) 488-1313

100 Village Sq
Ste 170
Glen Cove, NY 11542
Phone (516) 676-3554

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: sydneyj@aid.emadirect.md

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1114648649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 NEW HYDE PARK RD",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115303909",
            "telephone_number": "516-488-1313",
            "fax_number": "516-488-3449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 NEW HYDE PARK RD",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115303909",
            "telephone_number": "516-488-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBY",
        "first_name": "SYDNEY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-02",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F349792-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

Verify at the official NPI Registry.