David Jacobo

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

1365 Saint Nicholas Ave Apt 6M
New York, NY 10033-6203

Phone

(917) 640-8999

NPI assigned

Aug 25, 2021

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1548937808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 SAINT NICHOLAS AVE APT 6M",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100336203",
            "telephone_number": "917-640-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 SAINT NICHOLAS AVE APT 6M",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100336203",
            "telephone_number": "917-640-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBO",
        "first_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-25",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Jacobi
• Sophia Jacobi
• Susannah Gille Jacobi, PH.D.
• Amarilis Jacobo, DDS
• Carmen Jacobo
• Dulce Susana Jacobo
• Jacob Mendoza Jacobo
• Joseph Jacobo
• Kirsy Jacobo, MS BIL. SPEC. ED
• Andrew Michael Jacobowitz, PA-C

• Specialist in New York, NY
• Providers in New York, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.