Peter Edward Jakubowski, LPN

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

29554301 Issued in NY

Practice address

6054 Cavanaugh Rd
Marcy, NY 13403-2411

Phone

(315) 534-0730

NPI assigned

Jan 26, 2020

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

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

{
    "created_epoch": "1579996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579996800000",
    "number": "1497385702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 STONE ST",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134211933",
            "telephone_number": "315-813-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6054 CAVANAUGH RD",
            "city": "MARCY",
            "state": "NY",
            "postal_code": "134032411",
            "telephone_number": "315-534-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAKUBOWSKI",
        "first_name": "PETER",
        "middle_name": "EDWARD",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-26",
        "last_updated": "2020-01-26",
        "certification_date": "2020-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NY",
            "license": "29554301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis E Hernandez
• Scott M Holbrook, NP
• Karen Holmes, M.S.
• Jennifer Acee Hughes, LCSW
• Mani M Inaganti
• Andrea S Kain, PHARM.D.
• Wendy Suzanne Karas, RN
• Rajeshwar Kartan
• Byung O Kim
• Brian Krupper

• All providers in Marcy, NY
• Nursing Care Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2020; 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.