Glenn Jakobsen, D.O.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

197596 Issued in NY

Practice address

8371 116TH St
Ste M2
Richmond Hill, NY 11418-3448

Phone

(718) 441-5700

Fax

(718) 441-5337

NPI assigned

Jun 10, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Networks

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

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.

• Eastern Medical Consulting PC

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
  • NPI 1235608035
  NPD Authorized official
• Accucare Medical & Rehabilitation, PC

  • Physical Medicine & Rehabilitation Physician
  • Forest Hills, NY
  • NPI 1306997531
  NPD (past) Authorized official

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381190400000",
    "number": "1851332753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8371 116TH ST",
            "address_2": "STE M2",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114183448",
            "telephone_number": "718-441-5700",
            "fax_number": "718-441-5337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8371 116TH ST",
            "address_2": "STE M2",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114183448",
            "telephone_number": "718-441-5700",
            "fax_number": "718-441-5337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAKOBSEN",
        "first_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2013-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "197596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01817927",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Avila T Jackson, DPM
• Christopher Jackson
• Darrick K Jagbandhansingh, PTA
• Sophia Mita Jagroop, M. D
• Aishvarya Jain
• Geraldine Dela Jalon
• Jamaica 101 RX Pharmacy Corp.
• Jamaica 26 Dentistry
• Jamaica Apteka Inc
• Jamaica Care RX Inc

• Physical Medicine & Rehabilitation Physician in Richmond Hill, NY
• Providers in Richmond Hill, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; 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.