Individual provider Active NPI

Kirsy Jacobo, MS BIL. SPEC. ED

  • Early Intervention Provider Agency
  • New York, NY
National Provider Identifier
1538439039
Registry record updated Dec 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Practice address
328 E 62ND St
New York, NY 10065-8206
Phone
(212) 752-7575
NPI assigned
Dec 31, 2011
Last updated
Dec 31, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X NY Primary

Addresses

Primary practice location

328 E 62ND St
New York, NY 10065-8206

Mailing address

14 Lancaster CT
Nanuet, NY 10954-3849
Phone (845) 290-6477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Kisforkidz Inc. Early Intervention Provider Agency Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1325289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325289600000",
    "number": "1538439039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 LANCASTER CT",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109543849",
            "telephone_number": "845-290-6477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 E 62ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658206",
            "telephone_number": "212-752-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBO",
        "first_name": "KIRSY",
        "name_prefix": "Ms.",
        "credential": "MS BIL. SPEC. ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-31",
        "last_updated": "2011-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2011; 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.