NPIMap

Organization Active NPI

Accucare Medical & Rehabilitation, PC

  • Physical Medicine & Rehabilitation Physician
  • Forest Hills, NY
National Provider Identifier
1306997531
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
197596 Issued in NY
Legal business name
ACCUCARE MEDICAL & REHABILITATION, PC
Practice address
11420 Queens Blvd
Forest Hills, NY 11375-7056
Phone
(718) 441-5700
Fax
(718) 441-5337
NPI assigned
Jan 15, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Glenn Jakobsen, DONPI 1851332753
Title
Owner
Phone
(718) 441-5700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 197596 NY Primary

Addresses

Primary practice location

11420 Queens Blvd
Forest Hills, NY 11375-7056

Mailing address

8371 116TH St
Suite M2
Richmond Hill, NY 11418-3448
Phone (718) 441-5700

National Provider Directory

National Provider Directory

Locations

8371 116th St
Ste M2
Richmond Hill, NY 11418
Phone (718) 441-5700

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306997531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8371 116TH ST",
            "address_2": "SUITE M2",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114183448",
            "telephone_number": "718-441-5700",
            "fax_number": "718-441-5337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11420 QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757056",
            "telephone_number": "718-441-5700",
            "fax_number": "718-441-5337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCUCARE MEDICAL & REHABILITATION, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAKOBSEN",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-441-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "197596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.