Jacob J Kirsch, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

044367 Issued in NY

Practice address

115 W 86TH St
New York, NY 10024-3410

Phone

(212) 579-0213

Fax

(212) 579-4189

NPI assigned

Jan 3, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 1

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": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598822991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 CHURCHILL RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662905",
            "telephone_number": "201-837-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W 86TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243410",
            "telephone_number": "212-579-0213",
            "fax_number": "212-579-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSCH",
        "first_name": "JACOB",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "044367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01592025",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacy Kirsch Dlugacz, MS, OTR/L
• Alyssa Kirsch, PA
• Andrew Thomas Kirsch, M.D.
• Daniel Aaron Kirsch
• Elana Kirsch
• Karen Kirsch, M.D.
• Lisa Kirsch, DC
• Pamela Ann Kirsch I, LMSW
• Sydney Kirsch, LCSW
• Yonina Kirsch, MD

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.