Individual provider Active NPI

Chava Jakubovics, PA

  • Physician Assistant
  • Brooklyn, NY
National Provider Identifier
1114679271
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
027989 Issued in NY
Practice address
1309 E 8TH St Apt 2F
Brooklyn, NY 11230-5737
Phone
(732) 850-5227
NPI assigned
Jan 20, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 027989 NY Primary

Addresses

Primary practice location

1309 E 8TH St Apt 2F
Brooklyn, NY 11230-5737

Mailing address

1309 E 8TH St Apt 2F
Brooklyn, NY 11230-5737
Phone (732) 850-5227

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
I20230504001548 NY Order and Referring Only - Physician Assistant 9032574645

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
027989NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Oda Primary Health Care Network, Inc. Past Accepting new patients
Precious Health of Lakewood, PC Past Accepting new patients
Oda Primary Health Care Network, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: chavajakubovics@mai.allscriptsdirect.net
  • Direct secure messaging: chava.jakubovics@oda.eclinicaldirectplus.com

Organizations & group practices 4

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": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1114679271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 E 8TH ST APT 2F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305737",
            "telephone_number": "732-850-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 E 8TH ST APT 2F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305737",
            "telephone_number": "732-850-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAKUBOVICS",
        "first_name": "CHAVA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "027989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.