DR. JACOB WHITE (NPI# 1386969210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386969210 |
| Entity Type | Individual |
| Full Name | DR. JACOB WHITE |
| Credential | MD |
| Practice Address |
1264 Saint Nicholas Ave New York NY 10033-7263 |
| Mailing Address |
Po Box 32 Northbrook IL 60065-0032 |
| Practice Telephone | 3475321845 |
| Practice Fax Number | 7183011099 |
| Mailing Telephone | 2243180118 |
| Mailing Fax Number | 8479194615 |
| Enumeration Date | 2010-04-04 |
| Last Update Date | 2018-11-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
264822 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 04887023 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 Community Dr, Manhasset, NY 110303816 | 5165620100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194289892 | Jacob White | Specialist/Technologist | 580 Commonwealth Ave Unit 501, Boston, MA 02215-2509 | 2019-01-27 |
| 1689217044 | Jacob White | Pharmacist | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 | 2019-10-17 |
| 1790343382 | Jacob White | Behavior Technician | 1130 Tabb St, Norfolk, VA 23504-3434 | 2019-05-30 |
| 1295391944 | Jacob White IIi | Peer Specialist | 16 W Long St, Columbus, OH 43215-2815 | 2019-05-17 |
| 1548735079 | Jacob Vaughn White | Psychologist | 3537 W. Front Street, Suite F, Traverse City, MI 49684 | 2018-10-11 |
| 1003304387 | Jacob Richard White | Student in an Organized Health Care Education/Training Program | 3420 Fifth Avenue, Pittsburgh, PA 15213 | 2018-04-23 |
| 1265818884 | Jacob Jonathan White | Physician Assistant | 5645 W Addison St, Chicago, IL 60634-4403 | 2015-08-05 |
| 1073909719 | Jacob Matthew White | Counselor | 213 W Monroe Ave, Suite Q, Lowell, AR 72745-9451 | 2015-04-09 |
| 1831506351 | Jacob Christopher White | Psychiatry & Neurology | 413 N Allumbaugh St Ste 101, Boise, ID 83704-9219 | 2014-07-16 |
| 1205118569 | Jacob Garrett White | Social Worker | 859 Willard St, Quincy, MA 02169 | 2011-09-13 |
| Street Address |
1264 SAINT NICHOLAS AVE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10033-7263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265046940 | William F Ryan Community Health Center Inc | Clinic/Center | 154 Wadsworth Avenue, New York, NY 10033 | 2020-09-01 |
| 1063048627 | Lori Cinar | Speech-Language Pathologist | 544 Fort Washington Avenue, New York, NY 10033 | 2020-03-16 |
| 1245885953 | Beth Feldman | Occupational Therapist | 93 Bennett Ave, New York, NY 10033 | 2019-08-08 |
| 1053971903 | Daniel Harmeyer | Registered Nurse | 560 W 168th St, New York, Ny 10032, New York, NY 10033 | 2019-06-13 |
| 1770141038 | Rio Espiritu | Physical Therapist | 601 West 182nd.street, New York, NY 10033 | 2019-06-03 |
| 1154986255 | Gira Ileana Graciano Mireles | Student in an Organized Health Care Education/Training Program | 355 Bart Avenue, Department of Medicine Villa Bldg 1st Floor, New York, NY 10033 | 2019-05-03 |
| 1386140812 | Han Acupuncture | Acupuncturist | 701 W 177th Street, Suite 001, New York, NY 10033 | 2018-04-03 |
| 1023524956 | Kyong Su Han | Acupuncturist | 701 West 177th St, #001, New York, NY 10033 | 2017-12-14 |
| 1609380336 | Divine Luxury Transportation Inc | Non-emergency Medical Transport (VAN) | 360 Audubon Avenue, New York, NY 10033 | 2017-11-16 |
| 1174042683 | Kseniya Yershova | Psychologist | 66 Pinehurst Ave, 1a, New York, NY 10033 | 2017-09-15 |
| Find all providers in zip 10033 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962917492 | Israel Schur Md Pllc | Radiology | 202 Centre St Fl 5, New York, NY 10013-3613 | 2017-12-06 |
| 1699192815 | Amir Noor | Radiology | 240 E 86th St Apt Phb, New York, NY 10028-3000 | 2014-03-26 |
| 1104186097 | Nicole Antonia Lamparello | Radiology | 525 E 68th St # P-512, New York, NY 10065-4870 | 2012-05-24 |
| 1972802262 | Sidney Z Brejt | Radiology | 622 W 168th St # 4-100, New York, NY 10032-3720 | 2011-03-25 |
| 1588996854 | Ronda Bixon | Radiology | 45 East End Avenue, New York, NY 10028-7983 | 2010-02-11 |
| 1831358258 | Halfmoon Imaging, LLC | Radiology | 180 Grand St, New York, NY 10013-3786 | 2008-06-02 |
| 1992816011 | Trustees of Columbia University In The City of New York | Radiology | 51 West 51st Street Ste 301, New York, NY 10019 | 2006-08-31 |
| 1912972605 | Abigail Falk | Radiology | 202 Centre St, New York, NY 10013-3613 | 2006-02-17 |
| 1619962081 | Everett Marc Lautin | Radiology | 885 Park Ave, New York, NY 10021-0325 | 2005-09-13 |
| 1780229815 | Oliver R Jardine Jr. | Radiology | 550 1st Ave, New York, NY 10016-6402 | 2019-11-13 |
| Find all providers in NEW YORK | ||||
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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.