Sidney Jay Jakubovics, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD116392 Issued in NY

Practice address

411 Felter Ave
Woodmere, NY 11598-1143

Phone

(516) 374-2517

Fax

(212) 499-4931

NPI assigned

Dec 18, 2012

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1891031944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 FELTER AVE",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981143",
            "telephone_number": "516-374-2517",
            "fax_number": "212-499-4931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 FELTER AVE",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981143",
            "telephone_number": "516-374-2517",
            "fax_number": "212-499-4931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAKUBOVICS",
        "first_name": "SIDNEY",
        "middle_name": "JAY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-18",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "MD116392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Jacobowitz, MS-SLP
• Idy Jacobowitz
• Gail Ellen Jacobs
• Martin Jacobs, PHD
• Daniel Jacobson, PSYD
• Yfat B Jakubowitz, MSPT
• Janet A Jardine Grabill
• Georges Jean-Pierre, M.D
• Meredith Kay Jensen
• Deidra Joseph

• Internal Medicine Physician in Woodmere, NY
• Providers in Woodmere, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.