Jacob Kabariti, DO

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

506 6TH St
Brooklyn, NY 11215-3609

Phone

(347) 600-2814

NPI assigned

Mar 22, 2022

Sex

Male

Sole proprietor

Yes

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Medical Director Services PCGroup PAC ID 0042501116, 79 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Prime Home Health Services, LLC Home health agency, Brooklyn, NY, CCN 337190
• Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
• Staten Island University Hospital Univ Hospice Hospice, Staten Island, NY, CCN 331551
• Clove Lakes Health Care And Rehabilitation Center, Nursing home, Staten Island, NY, CCN 335239

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bub9006@direct.nyp.org

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.

• Medical Director Services PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Princess Anne, MD
  • NPI 1871955807

  NY

  Medicare reassignment Care Compare group NPD
• JDS Medical Services PC

  • Emergency Medicine Physician
  • Englewood, NJ
  • NPI 1174224653

  NY

  Medicare reassignment NPD
• Clove Lakes Health Care and Rehabilitation Center, Inc.

  • Skilled Nursing Facility
  • Staten Island, NY
  • NPI 1417952417
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Americare Certified Special Services, Inc.

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1770513145
  Care Compare affiliation
• Clove Lakes Health Care and Rehabilitation Center, Inc.

  • Skilled Nursing Facility
  • Staten Island, NY
  • NPI 1417952417

  Nursing home

  Care Compare affiliation
• Prime Home Health Services, LLC

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1588843650
  Care Compare affiliation
• Prime Home Health Services, LLC

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1841491412
  Care Compare affiliation
• Staten Island University Hospital

  • Inpatient Hospice
  • Staten Island, NY
  • NPI 1396755922
  Care Compare affiliation

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1851040422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 ANGELA DR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235441",
            "telephone_number": "347-600-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 6TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153609",
            "telephone_number": "347-600-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABARITI",
        "first_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent Kabanov
• Katsiaryna Kabanovich
• Haroun C Kabareti, RPH
• Eden Kabariti
• Jack Kabariti, MD
• Vivian Kabariti, PHARMD
• Yvete Kabarity, PHARMD
• Gabriel Kabarriti
• Asel Kabashi, MD, PHD
• Yakov S Kabasso, LMFT

• Student in an Organized Health Care Education/Training Program in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Student in an Organized Health Care Education/Training Program in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.