CARLA JACOB (NPI# 1497063010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497063010 |
| Entity Type | Individual |
| Full Name | CARLA JACOB |
| Practice Address |
452 Prospect Pl Brooklyn NY 11238-4104 |
| Practice Telephone | 3472684390 |
| Mailing Telephone | 3472684390 |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2016-05-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
542089 | NY | Nursing Service Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
340624 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649484213 | Carla Jacob | Technician | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2007-05-10 |
| Street Address |
452 PROSPECT PL |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11238-4104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003434135 | Shuowen Zhang | Social Worker | 535 Clinton Ave, 2nd Floor, Brooklyn, NY 11238 | 2020-07-06 |
| 1558909465 | Greene Ave Dental Pllc | Dentist | 335 Greene Ave, Brooklyn, NY 11238 | 2019-12-11 |
| 1558912311 | Haruka Ka | Social Worker | 535 Clinton Avenue, 2nd Floor, Brooklyn, NY 11238 | 2019-09-24 |
| 1407406978 | Zilin Li | Counselor | 535 Clinton Ave 2nd Floor, Community Counseling and Mediation, Brooklyn, NY 11238 | 2019-09-17 |
| 1770065492 | Batsheva Becher | Occupational Therapist | 419 Waverly Ave, Brooklyn, NY 11238 | 2018-08-29 |
| 1083194351 | Manhattan Integrative Gastroenterology | Internal Medicine | 550 Vanderbilt Ave Apt 803, Brooklyn, NY 11238 | 2018-08-16 |
| 1205328010 | Groundwork Therapy Psychological Services, Pllc | Psychologist | 1000 Dean Street, Suite 226, Brooklyn, NY 11238 | 2018-06-06 |
| 1053820464 | Darlene Latasha Parham | Registered Nurse | 400 Saint Marks Ave, 2a, Brooklyn, NY 11238 | 2017-09-28 |
| 1578085585 | Rocio Sorribas | Specialist | 244 Lafayette Avenue, Floor 1, Brooklyn, NY 11238 | 2017-07-11 |
| 1528509056 | Carolanne Marcantonio | Social Worker | 60 Plaza St East, Bs-1, Brooklyn, NY 11238 | 2017-03-16 |
| Find all providers in zip 11238 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689281198 | Jessica Fermin | Registered Nurse | 216 Avenue M Apt 1f, Brooklyn, NY 11230-4689 | 2020-09-29 |
| 1073127163 | Chava Bokchin | Registered Nurse | 6200 15th Avenue, Brooklyn, NY 11219 | 2020-09-04 |
| 1639797764 | Sharon T Turner | Registered Nurse | 1723 8th Ave Fl 2, Brooklyn, NY 11215-6103 | 2020-07-06 |
| 1316570880 | Sophia Maria Bartlett | Registered Nurse | 5221 Flatlands Ave Apt 3f, Brooklyn, NY 11234-2330 | 2020-02-12 |
| 1790316974 | Stella Koutsakis-rallakis | Registered Nurse | 8502 Ridge Blvd, Brooklyn, NY 11209-4308 | 2020-01-28 |
| 1326699869 | Lisa M Davis | Registered Nurse | 295 Sumpter St, Brooklyn, NY 11233-2712 | 2019-09-26 |
| 1750931242 | Rhondelle T Booker | Registered Nurse | 3316 Avenue N, Brooklyn, NY 11234-2613 | 2019-09-16 |
| 1306339445 | Avaline Aglenda Boyce-regis | Registered Nurse | 535 E 81st St, Brooklyn, NY 11236-3116 | 2018-06-13 |
| 1457850562 | Raheeman Joy Frederick | Registered Nurse | 561 E 82nd St, Brooklyn, NY 11236-3118 | 2018-02-04 |
| 1033617733 | Omnia M Abdella | Registered Nurse | 46 Bay 38th St Apt 2, Brooklyn, NY 11214-4453 | 2018-01-28 |
| Find all providers in BROOKLYN | ||||
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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.