Eastern Medical Consulting PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

EASTERN MEDICAL CONSULTING PC

Practice address

330 W 58TH St
New York, NY 10019-1827

Phone

(212) 765-6470

Fax

(212) 333-7346

NPI assigned

Nov 21, 2018

Organization subpart

No

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

Authorized official

Name

Glenn Jakobsen, DONPI 1851332753

Title

Medical Director

Phone

(347) 744-8605

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Glenn Jakobsen, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Richmond Hill, NY
  • NPI 1851332753
  NPD Authorized official

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

{
    "created_epoch": "1542758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542758400000",
    "number": "1235608035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WILLET AVE",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118011637",
            "telephone_number": "347-744-8605",
            "fax_number": "516-935-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 W 58TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191827",
            "telephone_number": "212-765-6470",
            "fax_number": "212-333-7346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN MEDICAL CONSULTING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-21",
        "last_updated": "2018-11-21",
        "status": "A",
        "authorized_official_last_name": "JAKOBSEN",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "347-744-8605",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eastern Anesthesia PC
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• Eastern Health Care Services
• Eastern Healthcare Chiropractic and Acupuncture Services PLLC
• Eastern Healthcare DC PC
• Eastern Scholars LLC
• Erin Paige Easterwood, PT, DPT
• Rachel Michelle Easterwood, MD
• James A Eastham, MD
• Shiloh Marie Eastin, PSYD

• Physical Medicine & Rehabilitation Physician in New York, NY
• Providers in New York, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; 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.