Individual provider Active NPI

Sincy Jacob

  • Family Medicine Physician
  • Nanuet, NY
National Provider Identifier
1811612120
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F349985-01 Issued in NY
Practice address
29 Birchwood Ter
Nanuet, NY 10954-1704
Phone
(845) 459-9048
NPI assigned
Oct 10, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F349985-01 NY Primary

Addresses

Primary practice location

29 Birchwood Ter
Nanuet, NY 10954-1704

Mailing address

29 Birchwood Ter
Nanuet, NY 10954-1704
Phone (845) 459-9048

Other names 1

  • Miss Sincy Mathew Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230203001357 NY Practitioner - Nurse Practitioner 0840662649 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Medical Health PCGroup PAC ID 9032308267, 44 clinicians
Arcadian Medical Health PCGroup PAC ID 6800388372, 33 clinicians

Practice addresses (Care Compare)

87 S Route 9W
Haverstraw, NY 10927-1700
Phone (845) 354-1212

87 S Route 9W
W Haverstraw, NY 10993-1047
Phone (845) 354-1212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F349985-01NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Care Connect Medical P.C. Family Medicine CurrentSince Sep 1, 2023 Accepting new patients
Arcadian Medical Health PC CurrentSince Mar 30, 2026 Accepting new patients
Genesis Medical Health PC Family Medicine CurrentSince Jan 7, 2023 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

87 S Route 9W
Haverstraw, NY 10927
Phone (845) 429-5381

7 Skyline Dr
Ste 250
Hawthorne, NY 10532

225 Maple Ave
Monsey, NY 10952
Phone (845) 352-9000

33 Downtown Dr
Fl 3
Monsey, NY 10952
Phone (201) 357-1520

15 Monsey Blvd
Monsey, NY 10952
Phone (845) 356-3400

87 S Route 9W
West Haverstraw, NY 10993

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1811612120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 BIRCHWOOD TER",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109541704",
            "telephone_number": "845-459-9048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 BIRCHWOOD TER",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109541704",
            "telephone_number": "845-459-9048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "SINCY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "F349985-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SINCY",
            "last_name": "MATHEW",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nanuet, NY

Sources for this page

Verify at the official NPI Registry.