Active NPI
Norman Michael Jacobowitz, MSN, RN-BC, NP-C
- Family Nurse Practitioner
- Manassas, VA
National Provider Identifier
1265746317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024168912
- Practice address
- 8575 Sudley Rd Ste B
Manassas, VA 20110-3861 - Phone
- (703) 361-3161
- NPI assigned
- Jul 31, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024168912 | VA | Primary |
Addresses
Primary practice location
8575 Sudley Rd Ste B
Manassas, VA 20110-3861
Mailing address
4000 Nicholas CT
Fairfax, VA 22033-2813
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2024 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024168912 | VA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280534400000",
"number": "1265746317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 NICHOLAS CT",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220332813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8575 SUDLEY RD STE B",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201103861",
"telephone_number": "703-361-3161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBOWITZ",
"first_name": "NORMAN",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "MSN, RN-BC, NP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-31",
"last_updated": "2010-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024168912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.