NPIMap

Organization Active NPI

Jonathan J Jakus & Nicholas Klein PTR

  • Specialist
  • Nyack, NY
National Provider Identifier
1871531467
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
127804-1 Issued in NY
Legal business name
JONATHAN J JAKUS & NICHOLAS KLEIN PTR
Practice address
258 High Ave
Nyack, NY 10960-2407
Phone
(845) 353-1441
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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

Authorized official

Name
Dr. Jonathan J Jakus, MD
Title
Partner
Phone
(845) 353-1441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 127804-1 NY Primary

Addresses

Primary practice location

258 High Ave
Nyack, NY 10960-2407

Mailing address

258 High Ave
Nyack, NY 10960-2407
Phone (845) 353-1441

Other identifiers 2

IdentifierTypeStateIssuer
2204998OtherNYAETNA HMO GROUP #
7908784OtherNYAETNA PPO GROUP #

Other names 1

  • Hudson Center for Womens Health Doing business as

National Provider Directory

National Provider Directory

Locations

20 Liberty Square Mall
Stony Point, NY 10980
Phone (845) 947-2225

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1871531467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 HIGH AVE",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109602407",
            "telephone_number": "845-353-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 HIGH AVE",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109602407",
            "telephone_number": "845-353-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN J JAKUS & NICHOLAS KLEIN PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "JAKUS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "845-353-1441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "127804-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO GROUP #",
            "identifier": "2204998",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO GROUP #",
            "identifier": "7908784",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hudson Center for Womens Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nyack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.