Reshma Jacob, DDS, MS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

055895 Issued in NY

Practice address

425 Madison Ave RM 1800
New York, NY 10017-1152

Phone

(212) 868-4657

Fax

(212) 704-8355

NPI assigned

Aug 7, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1249603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1982835948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 MADISON AVE RM 1800",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100171152",
            "telephone_number": "212-868-4657",
            "fax_number": "212-704-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 MADISON AVE RM 1800",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100171152",
            "telephone_number": "212-868-4657",
            "fax_number": "212-704-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "RESHMA",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401412577",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "055895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariann C. Jacob, M.D.
• Martin Jacob
• Melissa Jacob
• Merin Thomas Jacob, ANP-C
• Noam Jacob, M.D.
• Reuben Paul Jacob, M.D.
• Roshney Rose Jacob, M.D.
• Sarah Ann Jacob
• Shema Jacob
• Susan Jacob, NP

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.