Organization Active NPI

John J. Jacobs

  • Customized Equipment (DME)
  • Rochester, NY
National Provider Identifier
1639226145
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
JOHN J. JACOBS
Doing business as
Feet First
Practice address
1900 Clinton Ave S
Rochester, NY 14618-5621
Phone
(585) 442-4990
Fax
(585) 442-7169
NPI assigned
Jan 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Dr. John J. Jacobs, PH.D., C-PED
Title
Owner
Phone
(585) 442-4990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

1900 Clinton Ave S
Rochester, NY 14618-5621

Mailing address

1900 Clinton Ave S
Rochester, NY 14618-5621
Phone (585) 442-4990

Other identifiers 5

IdentifierTypeStateIssuer
PFEET FIRSTOtherNYMONROE PLAN
PFEET FIRSTOtherNYBLUE CHOICE
01356032MedicaidNY
FFI190146OtherNYBLUE CROSS BLUE SHIELD
104442-GDOtherNYPREFERRED CARE

Other names 1

  • Feet First Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1639226145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 CLINTON AVE S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185621",
            "telephone_number": "585-442-4990",
            "fax_number": "585-442-7169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 CLINTON AVE S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185621",
            "telephone_number": "585-442-4990",
            "fax_number": "585-442-7169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN J. JACOBS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-442-4990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., C-PED"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MONROE PLAN",
            "identifier": "PFEET FIRST",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "PFEET FIRST",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01356032",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "FFI190146",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "104442-GD",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Feet First",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.