Individual provider Active NPI

George Adam Jakubek, D.O.

  • Clinical Neurophysiology Physician
  • Jbphh, HI
National Provider Identifier
1982867644
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
License
0102202439 Issued in VA
Practice address
1430 Morton St BLDG 619
Jbphh, HI 96860-4664
Phone
(808) 473-5789
NPI assigned
Jul 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 0102202439 VA
General Practice Physician 208D00000X 0102202439 VA
Clinical Neurophysiology Physician 2084N0600X 0102202439 VA Primary

Addresses

Primary practice location

1430 Morton St BLDG 619
Jbphh, HI 96860-4664

Mailing address

1430 Morton St BLDG 619
Jbphh, HI 96860-4664
Phone (808) 473-5789

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20121212000202 MD Order and Referring Only - NeurologyPractitioner - Neurology 2668624099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1982867644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 MORTON ST BLDG 619",
            "city": "JBPHH",
            "state": "HI",
            "postal_code": "968604664",
            "telephone_number": "808-473-5789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 MORTON ST BLDG 619",
            "city": "JBPHH",
            "state": "HI",
            "postal_code": "968604664",
            "telephone_number": "808-473-5789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAKUBEK",
        "first_name": "GEORGE",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0102202439",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0102202439",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "VA",
            "license": "0102202439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jbphh, HI

Sources for this page

Verify at the official NPI Registry.