Binish Kinalath Jacob

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11033860 Issued in FL

Practice address

3854 NW 89TH Way
Hollywood, FL 33024-8716

Phone

(954) 205-5730

NPI assigned

Apr 2, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1743552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1366246191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3854 NW 89TH WAY",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330248716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3854 NW 89TH WAY",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330248716",
            "telephone_number": "954-205-5730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "BINISH",
        "middle_name": "KINALATH",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-02",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11033860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenya A'Leesha Alyxx Jack
• Jade Indira Jackson
• Tamara M Jackson
• Tiffany Chelan Jackson, MSN, RN
• Yinka Shuntina Jackson, APRN
• Riya Jacob
• Jacobo Elgozy M.D.P.a
• Charles Jacobs, M.D.
• Jeremy Allen Jacobs, DO
• George Franklin Jacobson, DPM

• Family Nurse Practitioner in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.