Individual provider Active NPI

Laura Jabbour, CNM

  • Advanced Practice Midwife
  • Brooklyn, NY
National Provider Identifier
1336543230
Registry record updated Dec 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
F001649 Issued in NY
Practice address
59 Cheever PL
Apt 3
Brooklyn, NY 11231-3034
Phone
(516) 661-0819
NPI assigned
Oct 21, 2014
Last updated
Dec 31, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X F001649 NY Primary

Addresses

Primary practice location

59 Cheever PL
Apt 3
Brooklyn, NY 11231-3034

Mailing address

59 Cheever PL
Apt 3
Brooklyn, NY 11231-3034
Phone (516) 661-0819

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150112000080 NY Practitioner - Certified Nurse Midwife (CNM) 3375867815 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F001649NYMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Jun 5, 2017 Accepting new patients
Jamaica Hospital CurrentSince Dec 1, 2014 Accepting new patients
Huntington Hospital Dolan Family Health Center CurrentSince Jul 10, 2017 Accepting new patients
Jamaica Hospital CurrentSince Dec 1, 2014 Accepting new patients

Locations

270 Park Ave
Huntington, NY 11743
Phone (631) 351-2308

270 Park Ave
Fl 1
Huntington, NY 11743
Phone (631) 351-2219

1572 New York Ave
Huntington Station, NY 11746
Phone (631) 425-5250

300 Community Dr
Manhasset, NY 11030

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088

972 Brush Hollow Rd
Westbury, NY 11590

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: laurajabbour@nslijmedgr.allscriptsdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451520000000",
    "number": "1336543230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 CHEEVER PL",
            "address_2": "APT 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112313034",
            "telephone_number": "516-661-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 CHEEVER PL",
            "address_2": "APT 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112313034",
            "telephone_number": "516-661-0819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABBOUR",
        "first_name": "LAURA",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-21",
        "last_updated": "2015-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "F001649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.