Active NPI
Jacob Thaddeus Szczypek, DNP, LM, CNM, MS, RN
- Advanced Practice Midwife
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 002381
- Practice address
- 506 Lenox Ave
New York, NY 10037-1802 - Phone
- (212) 939-1000
- NPI assigned
- Feb 28, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 856946 | NY | |
| Midwife | 176B00000X | CNM10007 | NY | |
| Advanced Practice Midwife | 367A00000X | 002381 | NY | Primary |
Addresses
Primary practice location
506 Lenox Ave
New York, NY 10037-1802
Mailing address
211 W 146TH St Apt 4O
New York, NY 10039-3743
Phone (203) 645-5139
Other practice location 1
46 W 137TH St
New York, NY 10037
Phone (212) 939-1000
Other practice location 2
211 W 146th St Apt 4O
New York, NY 10039-3743
Phone (203) 645-5139
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife, Master of Science, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002381 | NY | MD | Marriage & Family Therapist |
| 856946 | NY | MD | Registered Nurse |
| CNM10007 | NY | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| Physician Affiliate Group of New York PC | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Current | Accepting new patients |
Locations
2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354
8268 164th St
Jamaica, NY 11432
Phone (718) 883-2929
50 Water St
Fl 3
New York, NY 10004
506 Lenox Ave
Rm 631
New York, NY 10037
Phone (212) 939-1000
506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- jszczypek3596472@nychhc.direct-ci.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- New York, NY
- NPI 1548208127
-
- Registered Dietitian
- New York, NY
- NPI 1013375526
-
- Clinic/Center
- Brooklyn, NY
- NPI 1063577831
-
- Clinic/Center
- New York, NY
- NPI 1538943469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740700800000",
"number": "1750188496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 W 146TH ST APT 4O",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100393743",
"telephone_number": "203-645-5139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 LENOX AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100371802",
"telephone_number": "212-939-1000"
}
],
"practiceLocations": [
{
"address_1": "46 W 137TH ST",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "10037",
"country_code": "US",
"telephone_number": "212-939-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "211 W 146th St Apt 4O",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100393743",
"country_code": "US",
"telephone_number": "203-645-5139",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SZCZYPEK",
"first_name": "JACOB",
"middle_name": "THADDEUS",
"name_prefix": "Dr.",
"credential": "DNP, LM, CNM, MS, RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-02-28",
"last_updated": "2025-02-28",
"certification_date": "2025-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "856946",
"primary": false
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "NY",
"license": "CNM10007",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NY",
"license": "002381",
"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 Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.