Shency Jacob

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

26NR12412700 Issued in NJ

Practice address

66 White Beeches Dr
Dumont, NJ 07628-1408

Phone

(201) 338-4840

NPI assigned

Jul 8, 2015

Last updated

Jul 8, 2015By 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

Other names 1

• Shencymol Sebastian Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436313600000",
    "number": "1770966723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 WHITE BEECHES DR",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "076281408",
            "telephone_number": "201-338-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 WHITE BEECHES DR",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "076281408",
            "telephone_number": "201-338-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "SHENCY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-08",
        "last_updated": "2015-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR12412700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHENCYMOL",
            "last_name": "SEBASTIAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Esther Sima Hoffman, D.O.
• Israa Hussein
• Stephen Ip
• Yvette Jackson-Guzman
• Nathalie C Jackson, LPN
• Rachel Gail Jacobs, D.M.D.
• JC Physical Therapy LLC
• Lurangee Jimenez, RN
• Minnie K John, RPH
• Rachel Kafri, OTR/L

• Registered Nurse in Dumont, NJ
• Providers in Dumont, NJ by specialty
• Registered Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; 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.