Malkie Jacob

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

862680 Issued in NY

Legal business name

MALKIE JACOB

Practice address

577 Grand St Apt 302
New York, NY 10002-3587

Phone

(917) 903-9886

NPI assigned

Mar 22, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Malkie Jacob

Title

Ms Edsped

Phone

(917) 903-9886

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363910400000",
    "number": "1295077717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 GRAND ST APT 302",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100023587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "577 GRAND ST APT 302",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100023587",
            "telephone_number": "917-903-9886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALKIE JACOB",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-22",
        "last_updated": "2013-03-22",
        "status": "A",
        "authorized_official_last_name": "JACOB",
        "authorized_official_first_name": "MALKIE",
        "authorized_official_title_or_position": "MS EDSPED",
        "authorized_official_telephone_number": "917-903-9886",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "862680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER'S LICENSE",
            "identifier": "445084224",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Malka
• Matan Malka, MD
• Camelia Malkami
• Kabir Malkani
• Lian Malki-Schubert
• Alexandra Malkin, MSPT
• Dianna Malkin
• Dmitry Malkin, M.D.
• Elizabeth Malkin, PSYD
• Olga Malkin, DMD

• Early Intervention Provider Agency in New York, NY
• Providers in New York, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; 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.