Harry S. Jacob MD

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

112426 Issued in NY

Legal business name

HARRY S. JACOB MD

Practice address

2800 Marcus Ave
Suite 203
New Hyde Park, NY 11042-1113

Phone

(516) 354-7900

Fax

(516) 354-7111

NPI assigned

Aug 25, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Harry S Jacob, M.D.NPI 1346388162

Title

Owner

Phone

(516) 354-7900

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Harry S Jacob, MD

  • Internal Medicine Physician
  • New Hyde Park, NY
  • NPI 1346388162
  NPD (past) Authorized official

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

{
    "created_epoch": "1377388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377388800000",
    "number": "1437583630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 MARCUS AVE",
            "address_2": "SUITE 203",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421113",
            "telephone_number": "516-354-7900",
            "fax_number": "516-354-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 MARCUS AVE",
            "address_2": "SUITE 203",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421113",
            "telephone_number": "516-354-7900",
            "fax_number": "516-354-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRY S. JACOB MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-25",
        "last_updated": "2013-08-25",
        "status": "A",
        "authorized_official_last_name": "JACOB",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-354-7900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "112426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Harrington
• Nicolle C Harrington, PHYSICIAN ASSISTANT
• Kenneth A Harris Jr., MD
• Maury Harris, MD
• Rebecca Harris
• Jessica Anne Hartz, PA-C
• Mohammad A Harun, RPH
• Harvey W. Glicker,DDS,PC
• Marc Harvey, M.D.
• Rachel Nicole Harvey, MD

• Primary Care Clinic/Center in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2013; 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.