Kurien Jacob, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME34383 Issued in FL

Practice address

2101 NE 26TH St
Fort Lauderdale, FL 33305

Phone

(954) 564-8542

Fax

(954) 564-3364

NPI assigned

Aug 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Broward General Ekg Associates, Inc

  • Cardiovascular Disease Physician
  • Fort Lauderdale, FL
  • NPI 1124063326
  NPD (past)
• Jacob & Jacob MD PA

  • Specialist
  • Fort Lauderdale, FL
  • NPI 1275793564
  NPD (past)
• North Broward Hospital District

  dba BGMC Cancer Center

  • Pediatric Hematology & Oncology Physician
  • Fort Lauderdale, FL
  • NPI 1881622850
  NPD (past)

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770596579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 NE 26TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33305",
            "telephone_number": "954-564-8542",
            "fax_number": "954-564-3364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 NE 26TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33305",
            "telephone_number": "954-564-8542",
            "fax_number": "954-564-3364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "KURIEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME34383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marchae Jackson, LMFT
• Marcia Jackson, MFT, OTR/L
• Jacob & Jacob MD PA
• Jacob J. Freiman, M.D., P.a.
• Ayden Jacob, MD
• Martin Lee Jacob, MD
• Beth Singer Jacobs, D.O
• Jon Stephen Jacobs, O.D.
• Samuel Laban Jacobs, MD
• Stephen F. Jacobs, M.D.

• Internal Medicine Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.