Aleyamma Sally Jacob, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

200236 Issued in NY

Practice address

265 Post Ave
Suite 114
Westbury, NY 11590-2233

Phone

(516) 542-1180

Fax

(516) 832-4423

NPI assigned

May 22, 2006

Sex

Female

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

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

Specialty

Internal Medicine

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Advanced Primary Care Associates LLPGroup PAC ID 9032008370, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Advanced Primary Care Associates LLP

  • Internal Medicine Physician
  • Westbury, NY
  • NPI 1023299211
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470268800000",
    "number": "1932153996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 POST AVE",
            "address_2": "SUITE 114",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115902233",
            "telephone_number": "516-542-1180",
            "fax_number": "516-832-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 POST AVE",
            "address_2": "SUITE 114",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115902233",
            "telephone_number": "516-542-1180",
            "fax_number": "516-832-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "ALEYAMMA",
        "middle_name": "SALLY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2016-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "200236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Island Eye Surgicenter LLC
• Elizabeth Issa Basch, MD
• Lisa Italiano, MS GENERAL/SPED
• J. C. Chiropractic Services P.C.
• Melanie Jackson, N.P.
• William Jacobs, DDS
• Anisha Jadav
• Gowradevi Jagdeo
• Jahn Chiropractic PC
• Scott Eric Jahn, D.C.

• Internal Medicine Physician in Westbury, NY
• Providers in Westbury, 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 Aug 4, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.