Jeffrey H Jacob

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

000683-1 Issued in NY

Practice address

2039 Palmer Ave Ste 203
Larchmont, NY 10538-2483

Phone

(212) 812-0788

NPI assigned

Jan 25, 2012

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Integrative Wellness

  • Clinic/Center
  • Larchmont, NY
  • NPI 1417118233
  NPD Authorized official

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1467723205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 CAPE MAY DR",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077462618",
            "telephone_number": "212-812-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2039 PALMER AVE STE 203",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105382483",
            "telephone_number": "212-812-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "JEFFREY",
        "middle_name": "H",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-25",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "000683-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dallin G Inouye, DPT
• Integrated Occupational Therapy Services
• Integrative Wellness
• Julia Iskhakov
• Nataliya Istomina, MHC-LP
• Colleen McClain Jacobson, PHD
• James F. Goldszer, M.D., PLLC
• Janet O'Hare, LCSW PLLC
• Marlene Jeanty
• Miriam John, PH.D.

• Acupuncturist in Larchmont, NY
• Providers in Larchmont, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.