Jacob M Nygaard, C.PED

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

Practice address

135 S Main St
Marion, NC 28752-4548

Phone

(828) 652-1989

Fax

(828) 652-8990

NPI assigned

May 30, 2007

Last updated

Jul 9, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• J. Pen Medical, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Marion, NC
  • NPI 1922009323
  NPD (past) Authorized official

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1235330077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 975",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287520975",
            "telephone_number": "828-652-1989",
            "fax_number": "828-652-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 S MAIN ST",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287524548",
            "telephone_number": "828-652-1989",
            "fax_number": "828-652-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYGAARD",
        "first_name": "JACOB",
        "middle_name": "M",
        "credential": "C.PED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7795082",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New River Service Authority (New River Behavioral HealthCare)
• Nicholas Thomas DMD PA (Marion Dental Group)
• Nisha Patel MD & Associates PA
• North Carolina CVS Pharmacy LLC (CVS Pharmacy #03534)
• North Carolina Outreach Home Care LLC
• Alexis O'Kelley
• Joyce Ann Odell, M.S.W., L.C.S.W.,
• Anthony Afamefuna Okonkwo, PHARM. D
• Karen R. Olson, M.D.
• One Love Periodic Services, Inc

• Other Specialist/Technologist in Marion, NC
• Providers in Marion, NC by specialty
• Other Specialist/Technologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.