Individual provider Active NPI

Kwan-Iong L Jakobsen, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Westbury, NY
National Provider Identifier
1407837677
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
197595 Issued in NY
Practice address
355 Post Ave
Suite 100
Westbury, NY 11590-2265
Phone
(516) 333-3253
NPI assigned
Nov 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 197595 NY Primary

Addresses

Primary practice location

355 Post Ave
Suite 100
Westbury, NY 11590-2265

Mailing address

355 Post Ave Ste 104
Westbury, NY 11590-2265
Phone (516) 333-3253

Other names 1

  • Dr. Kwan L Jakobsen Other name

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041104001161 NY Practitioner - Physical Medicine and Rehabilitation 4385556976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
New York College of Osteo Medicine of New York Institute of Technology, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westbury Medical Care PCGroup PAC ID 7315859998, 3 clinicians

Practice addresses (Care Compare)

355 Post Ave
Westbury, NY 11590-2265
Phone (516) 333-3253

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
197595NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westbury Medical Care, P.C. CurrentSince Apr 5, 2000 Accepting new patients
Accucare Medical & Rehabilitation, PC Physical Medicine & Rehabilitation Past Accepting new patients
Post Chiropractic P.C. Past Accepting new patients

Locations

355 Post Ave
Ste 100
Westbury, NY 11590
Phone (516) 333-3253

355 Post Ave
Westbury, NY 11590
Phone (516) 333-3253

355 Post Ave
Ste 104
Westbury, NY 11590
Phone (516) 333-3253

Networks

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

Organizations & group practices 3

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1407837677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 POST AVE STE 104",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115902265",
            "telephone_number": "516-333-3253",
            "fax_number": "516-333-8452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 POST AVE",
            "address_2": "SUITE 100",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115902265",
            "telephone_number": "516-333-3253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAKOBSEN",
        "first_name": "KWAN-IONG",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-07",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "197595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KWAN",
            "last_name": "JAKOBSEN",
            "middle_name": "L",
            "prefix": "DR.",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Westbury, NY

Sources for this page

Verify at the official NPI Registry.