Nathaniel E. Jacob, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

057405 Issued in NY

Practice address

100 Washington St
LB1
Hempstead, NY 11550-3147

Phone

(516) 483-8383

Fax

(516) 483-1116

NPI assigned

Feb 22, 2013

Sex

Male

Sole proprietor

No

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

State licenses

Practice roles

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.

• Nathaniel Jacob DDS PLLC

  • Dentist
  • Hempstead, NY
  • NPI 1578010245
  NPD (past) Authorized official

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

{
    "created_epoch": "1361491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467763200000",
    "number": "1215277678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WASHINGTON ST",
            "address_2": "LB1",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503147",
            "telephone_number": "516-483-8383",
            "fax_number": "516-483-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WASHINGTON ST",
            "address_2": "LB1",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503147",
            "telephone_number": "516-483-8383",
            "fax_number": "516-483-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "NATHANIEL",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-22",
        "last_updated": "2016-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "057405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack Yuan, DPM P.C.
• Courtney Danielle Jackson, LMSW
• Gwen Jackson
• Jacqueline Jackson, LMSW
• Kerry Kay Jackson
• Roberta D Jaeger, D.C.
• Jai Sai Venkateswara Pharmacy LLC (Harry's Pharmacy & Surgicals)
• Pooja Jaisinghani, DO
• Shatora James-Casseus
• Natisha James, RN

• General Practice Dentistry in Hempstead, NY
• Providers in Hempstead, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.