Gail Ellen Jacobs

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

016633 Issued in NY

Practice address

1050 Fulton St
Woodmere, NY 11598-1129

Phone

(516) 524-8383

Fax

(516) 569-0198

NPI assigned

Dec 31, 2007

Last updated

Dec 31, 2007By 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

• Ellie Jacobs Professional 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": "1199059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199059200000",
    "number": "1841475522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 FULTON ST",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981129",
            "telephone_number": "516-524-8383",
            "fax_number": "516-569-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 FULTON ST",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981129",
            "telephone_number": "516-524-8383",
            "fax_number": "516-569-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "GAIL",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "016633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLIE",
            "last_name": "JACOBS",
            "credential": "LMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Shantel Isaac, OTR/L
• Mark Isakov, PHARM.D
• J Hersh Counseling Services
• Alicia Jacobowitz, MS-SLP
• Idy Jacobowitz
• Martin Jacobs, PHD
• Daniel Jacobson, PSYD
• Sidney Jay Jakubovics, M.D.
• Yfat B Jakubowitz, MSPT
• Janet A Jardine Grabill

• Massage Therapist in Woodmere, NY
• Providers in Woodmere, NY by specialty
• Massage Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.