Joan Laurie Jacobs, D.C.,C.D.N.

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

X002791-1 Issued in NY

Practice address

19305 Nero Ave
Hollis, NY 11423-1153

Phone

(718) 465-1281

Fax

(718) 740-0339

NPI assigned

Feb 3, 2007

Last updated

Aug 26, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1750429379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19305 NERO AVE",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114231153",
            "telephone_number": "718-465-1261",
            "fax_number": "718-740-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19305 NERO AVE",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114231153",
            "telephone_number": "718-465-1281",
            "fax_number": "718-740-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "JOAN",
        "middle_name": "LAURIE",
        "name_prefix": "Dr.",
        "credential": "D.C.,C.D.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-03",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "NY",
            "license": "X002791-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arkadiy Iskhakov
• MD Mahbubul Islam, M.D.
• Rafia Islam
• Sirajul Islam, MD
• Melanie Izrailova
• Grace Rosalee James
• Selina Ukimmy James, LPN
• Kinza Jamshed
• Sthelle Janvier
• Dominique Jean, PTA

• Nutrition Chiropractor in Hollis, NY
• Providers in Hollis, NY by specialty
• Nutrition Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.