Active NPI
Margaret Esther Jacobs
- Massage Therapist
- Glen Head, NY
National Provider Identifier
1700542073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 00239
- Practice address
- 708 Glen Cove Ave Ste 202
Glen Head, NY 11545-1655 - Phone
- (516) 669-2307
- NPI assigned
- Nov 11, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 00239 | NY | Primary |
Addresses
Primary practice location
708 Glen Cove Ave Ste 202
Glen Head, NY 11545-1655
Mailing address
230 Bayville Rd
Locust Valley, NY 11560-2017
Phone (516) 801-2056
Other names 1
- Peggy Jacobs
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00239 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636588800000",
"number": "1700542073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 BAYVILLE RD",
"city": "LOCUST VALLEY",
"state": "NY",
"postal_code": "115602017",
"telephone_number": "516-801-2056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 GLEN COVE AVE STE 202",
"city": "GLEN HEAD",
"state": "NY",
"postal_code": "115451655",
"telephone_number": "516-669-2307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "MARGARET",
"middle_name": "ESTHER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-11",
"last_updated": "2021-11-11",
"certification_date": "2021-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "00239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PEGGY",
"last_name": "JACOBS",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Glen Head, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.