MRS. JULIE JACOB


Address: 300 Community Dr, Manhasset, NY 11030-3816
Phone: 5165623722

MRS. JULIE JACOB (NPI# 1225328974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225328974
Entity Type Individual
Full Name MRS. JULIE JACOB
Credential NP
Practice Address 300 Community Dr
Manhasset
NY 11030-3816
Practice Telephone 5165623722
Practice Fax Number 5165622159
Mailing Telephone 5165623722
Mailing Fax Number 5165622159
Enumeration Date 2011-04-14
Last Update Date 2011-04-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
F 336630-1 NY Physician Assistants & Advanced Practice Nursing Providers

Other Providers JULIE JACOB

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1497292445 Julie Jacob Nurse Practitioner 6 Cottonwood Ct, Edison, NJ 08820 2017-01-30
1447384706 Julie Jacob Pediatrics 8501 Wade Blvd Ste 330, Frisco, TX 75034-6264 2007-03-16
1538515150 Julie Don Jacob Pharmacist 10535 Hospital Way, Mather, CA 95655-4200 2016-05-12
1619283819 Julie V Jacob Dietitian, Registered 7404 5th Ave, Brooklyn, NY 11209-2704 2010-08-25
1881864890 Julie Ann Jacob Emergency Medicine 555 E Hardy St, Inglewood, CA 90301-4011 2008-03-05

Office Location

Street Address 300 COMMUNITY DR
City MANHASSET
State NY
Zip Code 11030-3816

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487659777 Rudy Neptune Anesthesiology 300 Community Dr, Manhasset, NY 11030-3816 2005-06-15
1013518935 Vikram Gajulapalli Pharmacist 300 Community Dr, Manhasset, NY 11030-3816 2020-11-06
1568062396 Caroline Smolenski Nurse Anesthetist, Certified Registered 300 Community Dr, Manhasset, NY 11030-3876 2020-10-30
1265031256 James Jiwon Song Pharmacy Technician 300 Community Dr, Manhasset, NY 11030-3816 2020-10-20
1437757739 Andy Sunwoo Lim Pharmacy Technician 300 Community Dr, Manhasset, NY 11030-3876 2020-10-09
1548867450 Shiva Moshtagh Nurse Practitioner 300 Community Dr, Manhasset, NY 11030-3816 2020-10-04
1457968943 Bryanna Colleen Kelly Nurse Practitioner 300 Community Dr, Manhasset, NY 11030-3816 2020-09-28
1902412463 Tara Shelley Physician Assistant 300 Community Dr, Manhasset, NY 11030-3876 2020-09-21
1548875644 Julius E Wilson Jr. Pharmacy Technician 300 Community Dr, Manhasset, NY 11030-3816 2020-09-15
1114532215 Sarah Iqbal Pharmacy Technician 300 Community Dr, Manhasset, NY 11030-3816 2020-09-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831754126 Diana Fox Registered Nurse 330 Community Drive, Manhasset, NY 11030 2019-05-02
1215470257 Melissa Fackler Registered Nurse 1350 Northern Blvd Ste 202, Manhasset, NY 11030 2016-11-23
1821443391 Sarah Javdan Family Medicine 800 Community Dr Ste 206, Manhasset, NY 11030 2016-05-03
1891167458 Stacie Thaw Lcsw Pllc Social Worker 115 Park Ave., Manhasset, NY 11030 2015-10-22
1538547971 Aarti Kumar Podiatrist 535 Plandome Rd # 2, Manhasset, NY 11030 2015-05-18
1073933586 Rachel Durante Occupational Therapist 600 Community Drive, Manhasset, NY 11030 2014-04-23
1831436435 Anesthesia Care, P.C. General Practice 565 Plandome Road, Manhasset, NY 11030 2013-01-16
1821350091 Sylvia Yoonsun Kim Pharmacist 139 Vanderbilt Ave, Manhasset, NY 11030 2012-06-13
1699062588 Rod Stern Dentist 444 Community Dr Ste 201, Manhasset, NY 11030 2011-06-30
1558654798 Alexandria Pace Kress Speech-Language Pathologist 31 Circle Dr, Manhasset, NY 11030 2011-05-20
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114276300 Lorna Murrine Smith Nurse Practitioner 1129 Nthrn Blvd Ste 101, Manhasset, NY 11030-3022 2012-09-03
1609040138 Priscilla Samuel Nurse Practitioner 300 Community Drive 9 Tower, Manhasset, NY 11030 2008-04-16
1356956726 Talia Roffel Nurse Practitioner 300 Community Dr, Manhasset, NY 11030-3876 2020-09-12
1912511569 Merzelie Casimir Nurse Practitioner 300 Community Dr, Manhasset, NY 11030-3876 2020-09-01
1639782469 Blair M Whitley Nurse Practitioner 300 Community Dr, Manhasset, NY 11030-3816 2020-08-31
1093325052 Robert Steve Santana Nurse Practitioner 300 Community Dr, Manhasset, NY 11030-3816 2020-08-05
1760009369 Althea Webster-samuda Nurse Practitioner 330 Community Dr, Manhasset, NY 11030-3816 2020-06-29
1386283232 Soledad Demicheri Nurse Practitioner 600 Community Dr, Manhasset, NY 11030-3802 2019-12-24
1992347504 Kathie Lara Trimble Nurse Practitioner 1129 Northern Blvd Ste 101, Manhasset, NY 11030-3022 2019-10-15
1598313025 Melodie Wanyi Lin Nurse Practitioner 300 Community Dr, Manhasset, NY 11030-3816 2019-08-28
Find all providers in MANHASSET

Competitor

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City MANHASSET
Zip Code 11030

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Dataset Information

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.

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