Shari R Jacobs, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

XOO4717-1 Issued in NY

Practice address

485 Bellmore Ave
East Meadow, NY 11554-4706

Phone

(516) 538-8361

Fax

(516) 565-1248

NPI assigned

Oct 27, 2006

Sex

Female

Sole proprietor

Yes

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

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396821039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 BELLMORE AVE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115544706",
            "telephone_number": "516-538-8361",
            "fax_number": "516-565-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 BELLMORE AVE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115544706",
            "telephone_number": "516-538-8361",
            "fax_number": "516-565-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "SHARI",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "XOO4717-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Israeli, RPH
• Cally Issidoridis, LMSW
• Gary Paul Jablow, DDS
• Lino Jacob
• Stephney Jacob, OTR/L, MSOT
• Jonathan Jafari, D.O.
• Kamil Jaghab, M.D.
• Cody Matthew Jahrig, MD
• Jaime Simon
• Pooja Jaiswal

• Chiropractor in East Meadow, NY
• Providers in East Meadow, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.