JONATHAN JAKUS (NPI# 1033108451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033108451 |
| Entity Type | Individual |
| Full Name | JONATHAN JAKUS |
| Credential | MD |
| Practice Address |
258 High Ave Nyack NY 10960-2407 |
| Practice Telephone | 8453531441 |
| Practice Fax Number | 8453531987 |
| Mailing Telephone | 8453531441 |
| Mailing Fax Number | 8453531987 |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2018-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 127804 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | OXFORD # | RP102 | 01 |
| NY | CONNECTICARE # | 127804 | 01 |
| NY | TACONIC IPA # | 696487 | 01 |
| NY | AETNA HMO # | 0542164 | 01 |
| NY | HIP # | 127804 | 01 |
| NY | ATLANTIS HEALTH PLAN # | KN6788 | 01 |
| NY | HEALTHNET # | 0D4695 | 01 |
| NY | GHI PPO # | 0008550 | 01 |
| NY | AETNA PPO # | 4061574 | 01 |
| NY | MVP # | 696487 | 01 |
| NY | GHI HMO # | 00000003945 | 01 |
| NY | 00278120 | 05 | |
| NY | WELLCARE # | 103945 | 01 |
| NY | EMPIRE BCBS # | 337001 | 01 |
| NY | AFFINITY # | 1000017625 | 01 |
| Street Address |
258 HIGH AVE |
| City | NYACK |
| State | NY |
| Zip Code | 10960-2407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649825209 | Kristina Blanche Hess | Advanced Practice Midwife | 258 High Ave, Nyack, NY 10960-2407 | 2019-08-09 |
| 1841844404 | Carolyn Marie Bernier | Midwife | 258 High Ave, Nyack, NY 10960-2407 | 2019-07-31 |
| 1053854869 | Stefanie Ferraro | Advanced Practice Midwife | 258 High Ave, Nyack, NY 10960-2407 | 2016-11-28 |
| 1033568332 | Jonathan J. Jakus, M.d., P.C. | Specialist | 258 High Ave, Nyack, NY 10960-2407 | 2016-06-07 |
| 1497120331 | Sarika Rohllf | Midwife | 258 High Ave, Nyack, NY 10960 | 2015-12-03 |
| 1508273566 | Tonya Singer | Midwife | 258 High Ave, Nyack, NY 10960-2407 | 2014-07-22 |
| 1750704805 | Christine Jean-louis | Midwife | 258 High Ave, Nyack, NY 10960-2407 | 2014-01-27 |
| 1043631468 | Jessica Rose Dowd | Advanced Practice Midwife | 258 High Ave, Nyack, NY 10960-2407 | 2014-01-02 |
| 1538508239 | Robyn Schafer | Advanced Practice Midwife | 258 High Ave, Hudson Center for Women's Health, Nyack, NY 10960-2407 | 2013-06-17 |
| 1538411749 | Dana Marie Macdonald | Registered Nurse | 258 High Ave, Nyack, NY 10960-2407 | 2012-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164963443 | Urmi Vaghela | Behavioral Analyst | 99 Main St Suite 208, Vital Behavior Services, Inc., Nyack, NY 10960 | 2017-03-20 |
| 1063968873 | Ebony S. Owens | Behavioral Analyst | 204 Nyack Plaza, Nyack, NY 10960 | 2016-08-31 |
| 1306299979 | Timothy O'shea Jr. | Registered Nurse | 28 Central Ave North, Nyack, NY 10960 | 2016-07-19 |
| 1114378460 | Abilene Murassaint | Licensed Practical Nurse | 65 Waldron Ave, Nyack, NY 10960 | 2016-06-28 |
| 1114388261 | United States Medical Supply Co. | Durable Medical Equipment & Medical Supplies | 286 S. Boulevard, Nyack, NY 10960 | 2016-03-17 |
| 1316329477 | Susanna Miran Park | Acupuncturist | 85 South Broadway, Nyack, NY 10960 | 2015-06-25 |
| 1851724769 | Molly Hahn | Social Worker | 292 Main St Ste 4, Nyack, NY 10960 | 2013-08-14 |
| 1952648511 | Courtney Lia Sturm | Speech-Language Pathologist | 21 Burd Street, Nyack, NY 10960 | 2013-01-15 |
| 1942545389 | Manni Chahal | Registered Nurse | 3 Waldron Ave, Nyack, NY 10960 | 2012-12-11 |
| 1376894394 | Barbara Lewis Baker | Social Worker | 339 North Broadway, The Summit School and Children's Residence Center, Upper Nyack, NY 10960 | 2012-10-01 |
| Find all providers in zip 10960 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326499096 | Naji Abdul Wajid | Obstetrics & Gynecology | 160 N Midland Ave, Nyack, NY 10960-1912 | 2016-06-23 |
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| 1750915062 | Radoslav Jovanovic, Md and Kevin Jovanovic, Md | Obstetrics & Gynecology | 930 Fifth Avenue, Suite 3, New York, NY 10021 | 2020-02-25 |
| 1508406901 | Jing Qiao Ob/gyn P.C. | Obstetrics & Gynecology | 4265 Kissena Blvd Unit L3, Flushing, NY 11355-3273 | 2020-01-14 |
| 1811531270 | Comprehensive Perinatal Medicine Pllc | Obstetrics & Gynecology | 13336 41st Rd # 2a, Flushing, NY 11355-3666 | 2019-10-29 |
| 1275176869 | Trustcare Women's Health Ob/gyn PC | Obstetrics & Gynecology | 730 58th St Bsmt, Brooklyn, NY 11220-3917 | 2019-10-25 |
| 1194379644 | Giovanna Fiorella Ramirez Barbieri | Obstetrics & Gynecology | 374 Stockholm St, Brooklyn, Ny 11237, Brooklyn, NY 11237 | 2019-08-01 |
| 1427610021 | K & K Broadway Inc. | Obstetrics & Gynecology | 111 Broadway Rm 1405, New York, NY 10006-3903 | 2019-07-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.