Amarilis Jacobo, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

45577-1 Issued in NY

Practice address

131 W 110TH St
New York, NY 10026-4202

Phone

(212) 678-1944

Fax

(121) 666-6857

NPI assigned

Dec 22, 2005

Sex

Female

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

Electronic endpoints 1

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.

• Amarilis Jacobo Dental Office PC

  • Dentist
  • New York, NY
  • NPI 1326299181
  NPD (past) Authorized official

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1265418008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 W 110TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100264202",
            "telephone_number": "212-678-1944",
            "fax_number": "121-666-6857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 W 110TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100264202",
            "telephone_number": "212-678-1944",
            "fax_number": "121-666-6857"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "824 E 181st St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104601336",
            "country_code": "US",
            "telephone_number": "718-933-0531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBO",
        "first_name": "AMARILIS",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-22",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "45577-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01526076",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "endpointDescription": "N/A",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "N/A",
            "address_1": "131 W 110th St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100264202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Adam Howard Jacobi, M.D.
• Katherine Jacobi
• Molly Jacobi
• Sophia Jacobi
• Susannah Gille Jacobi, PH.D.
• Carmen Jacobo
• David Jacobo
• Dulce Susana Jacobo
• Jacob Mendoza Jacobo
• Joseph Jacobo

• General Practice Dentistry in New York, NY
• Providers in New York, 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 May 26, 2021; 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.