Michael Yakubov Jacobi, DO

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

274080 Issued in NY

Practice address

8335 139TH St
Apt 1R
Jamaica, NY 11435-1600

Phone

(917) 254-8854

Fax

(509) 351-8279

NPI assigned

Mar 17, 2014

Last updated

Mar 17, 2014By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395014400000",
    "number": "1861818650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8335 139TH ST",
            "address_2": "APT 1R",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114351600",
            "telephone_number": "917-254-8854",
            "fax_number": "509-351-8279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8335 139TH ST",
            "address_2": "APT 1R",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114351600",
            "telephone_number": "917-254-8854",
            "fax_number": "509-351-8279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBI",
        "first_name": "MICHAEL",
        "middle_name": "YAKUBOV",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-17",
        "last_updated": "2014-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "274080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerita Jackson, FNP
• Lisa Nicole Jackson, M.D.
• Nickolas Nathaniel Jackson, FNP, RN
• Anna Jacob, FNP
• Shawn Jacob, DO
• Karen Jacobs
• Markiel Jacobs
• Jennifer Lee Jacoby
• Cecilia Jacques, O.D.
• Dawn Apryl Jacques, P.A.

• General Practice Physician in Jamaica, NY
• Providers in Jamaica, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; 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.