Individual provider Active NPI

Jacklyn Lahav, CNM

  • Midwife
  • Brooklyn, NY
National Provider Identifier
1265760888
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
F001358 Issued in NY
Practice address
1718 E 22ND St
Brooklyn, NY 11229-1517
Phone
(917) 750-0388
Fax
(888) 815-3905
NPI assigned
Nov 19, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X F001358 NY Primary

Addresses

Primary practice location

1718 E 22ND St
Brooklyn, NY 11229-1517

Mailing address

1718 E 22ND St
Brooklyn, NY 11229-1517
Phone (917) 750-0388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
F001358NYMDMidwife
001358NYMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1265760888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 E 22ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291517",
            "telephone_number": "917-750-0388",
            "fax_number": "888-815-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 E 22ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291517",
            "telephone_number": "917-750-0388",
            "fax_number": "888-815-3905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAHAV",
        "first_name": "JACKLYN",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-19",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NY",
            "license": "F001358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.