NPIMap

Organization Active NPI

Jacob Nachum, OD, PC

  • Clinic/Center
  • New York, NY
National Provider Identifier
1356119747
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
JACOB NACHUM, OD, PC
Doing business as
Jacob Nachum, OD, PC
Practice address
26 Broadway Ste 908
New York, NY 10004-1837
Phone
(121) 242-5263
Fax
(212) 425-2636
NPI assigned
Dec 14, 2023
Last updated
Dec 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Authorized official

Name
Dr. Jacob Nachum, ODNPI 1124107685
Title
President
Phone
(917) 861-8878

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary
Cornea and External Diseases Specialist Physician 207WX0120X NU

Addresses

Primary practice location

26 Broadway Ste 908
New York, NY 10004-1837

Mailing address

26 Broadway Ste 908
New York, NY 10004-1837
Phone (121) 242-5263

Other identifiers 1

IdentifierTypeStateIssuer
1124107685OtherNYOPTOMETRY

Other names 1

  • Jacob Nachum, OD, PC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1702512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1356119747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 BROADWAY STE 908",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100041837",
            "telephone_number": "121-242-5263",
            "fax_number": "212-425-2636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 BROADWAY STE 908",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100041837",
            "telephone_number": "121-242-5263",
            "fax_number": "212-425-2636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB NACHUM, OD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-14",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "NACHUM",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-861-8878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY",
            "identifier": "1124107685",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jacob Nachum, OD, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.