Jacob M. Rybczynski DPM PC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

JR000727 Issued in MI

Legal business name

JACOB M. RYBCZYNSKI DPM PC

Doing business as

Downriver Family Foot Care Center

Practice address

13724 Fort St
Southgate, MI 48195-1153

Phone

(734) 282-1636

Fax

(734) 282-2967

NPI assigned

Oct 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jacob Micheal Rybczynski, D.P.M.

Title

Physican

Phone

(734) 282-1636

Specialties & licenses 1

Addresses

Other names 1

• Downriver Family Foot Care Center Doing business as

Locations

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1750570636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13724 FORT ST",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951153",
            "telephone_number": "734-282-1636",
            "fax_number": "734-282-2967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13724 FORT ST",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951153",
            "telephone_number": "734-282-1636",
            "fax_number": "734-282-2967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB M. RYBCZYNSKI DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "RYBCZYNSKI",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "MICHEAL",
        "authorized_official_title_or_position": "PHYSICAN",
        "authorized_official_telephone_number": "734-282-1636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "JR000727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Downriver Family Foot Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Jackson
• Grace Elizabeth Jackson
• Juanicka Jackson
• Letorrian Jackson, LLMSW
• Tasha Jackson, LLPC
• Arunmon Jacob, PT
• Frank Steve Jacob, MSW, LMSW, ACSW
• Sarah Marie Jacobs, LMSW
• Trina Jacobson
• Aziza Jadallah

• Durable Medical Equipment & Medical Supplies in Southgate, MI
• Providers in Southgate, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.