Active NPI
Nancy Eve Jacobs, AU.D.
- Audiologist
- Bronx, NY
National Provider Identifier
1922377217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1301
- Practice address
- 3450 E Tremont Ave
Room 227
Bronx, NY 10465-2020 - Phone
- (718) 794-7244
- Fax
- (718) 794-7435
- NPI assigned
- Dec 15, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 1301 | NY | Primary |
Addresses
Primary practice location
3450 E Tremont Ave
Room 227
Bronx, NY 10465-2020
Mailing address
9 Dorothy Dr
Spring Valley, NY 10977-1812
Phone (718) 794-7244
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1301 | NY | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323907200000",
"number": "1922377217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 DOROTHY DR",
"city": "SPRING VALLEY",
"state": "NY",
"postal_code": "109771812",
"telephone_number": "718-794-7244",
"fax_number": "718-794-7435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 E TREMONT AVE",
"address_2": "ROOM 227",
"city": "BRONX",
"state": "NY",
"postal_code": "104652020",
"telephone_number": "718-794-7244",
"fax_number": "718-794-7435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "NANCY",
"middle_name": "EVE",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-15",
"last_updated": "2011-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "1301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.