Active NPI
Isali Ben Jacob, D.O.M.
- Acupuncturist
- Coral Gables, FL
National Provider Identifier
1760796940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AP847
- Practice address
- 4505 W Flagler St Ste 202
Coral Gables, FL 33134-1500 - Phone
- (786) 220-0896
- NPI assigned
- Jul 30, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AP847 | FL | Primary |
Addresses
Primary practice location
4505 W Flagler St Ste 202
Coral Gables, FL 33134-1500
Mailing address
4505 W Flagler St Ste 202
Coral Gables, FL 33134-1500
Phone (786) 220-0896
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 |
|---|---|---|---|
| AP847 | FL | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280448000000",
"number": "1760796940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4505 W FLAGLER ST STE 202",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331341500",
"telephone_number": "786-220-0896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4505 W FLAGLER ST STE 202",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331341500",
"telephone_number": "786-220-0896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEN JACOB",
"first_name": "ISALI",
"name_prefix": "Dr.",
"credential": "D.O.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-30",
"last_updated": "2010-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.