Amarilis Jacobo Dental Office PC

Primary specialty

DentistTaxonomy code 122300000X

License

0455771 Issued in NY

Legal business name

AMARILIS JACOBO DENTAL OFFICE PC

Practice address

131 W 110TH St
Suite 1D
New York, NY 10026-4202

Phone

(212) 678-1944

Fax

(212) 666-6857

NPI assigned

Oct 9, 2008

Organization subpart

Yes

Parent organization

AMARILIS JACOBO DENTAL OFFICE PCAs reported in NPPES

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

Authorized official

Name

Amarilis Jacobo, DDSNPI 1265418008

Title

Dentist

Phone

(212) 678-1944

Specialties & licenses 1

Addresses

Part of

Amarilis Jacobo Dental Office PC

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amarilis Jacobo, DDS

  • General Practice Dentistry
  • New York, NY
  • NPI 1265418008
  NPD (past) Authorized official

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625616000000",
    "number": "1326299181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 W 110TH ST",
            "address_2": "SUITE 1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100264202",
            "telephone_number": "212-678-1944",
            "fax_number": "212-666-6857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 W 110TH ST",
            "address_2": "SUITE 1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100264202",
            "telephone_number": "212-678-1944",
            "fax_number": "212-666-6857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMARILIS JACOBO DENTAL OFFICE PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMARILIS JACOBO DENTAL OFFICE PC",
        "enumeration_date": "2008-10-09",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A",
        "authorized_official_last_name": "JACOBO",
        "authorized_official_first_name": "AMARILIS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "212-678-1944",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "0455771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Amaranthine, D.P.T.
• David Amarel, PH.D.
• Nicholas Amargo, PT
• Yamila Azizeth Amari
• Susan Amarianos, SLP, M.A.
• Michelle A Amaro, LPN
• Rebecca C. Amaru, M.D.
• Jose A Amat, M.D.,
• Lisa Erika Amatangelo, MD
• Alex Jacob Amato, CRNA

• Dentist in New York, NY
• Providers in New York, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.