DR. BARRY L. JACOBSON (NPI# 1538279625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538279625 |
| Entity Type | Individual |
| Full Name | DR. BARRY L. JACOBSON |
| Credential | DMD |
| Practice Address |
135-14 Jewel Ave Flushing NY 11367 |
| Practice Telephone | 7189976453 |
| Practice Fax Number | 7187938956 |
| Mailing Telephone | 7189976453 |
| Mailing Fax Number | 7187938956 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
045485 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01649187 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275679250 | Barry J Jacobson | Obstetrics & Gynecology | 2100 Keystone Ave, Suite 707, Drexel Hill, PA 19026-1129 | 2007-01-29 |
| 1124103551 | Barry Lewis Jacobson | Psychologist | 1230 7th Ave, Longview, WA 98632-3166 | 2006-10-26 |
| Street Address |
135-14 JEWEL AVE |
| City | FLUSHING |
| State | NY |
| Zip Code | 11367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336378900 | Dara Alexis Pfeffer | Dentist | 135-14 Jewel Ave, Flushing, NY 11367 | 2009-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821638008 | Scarlett Sea | Speech-Language Pathologist | 31-36 88th St, Jackson Heights, NY 11367 | 2020-01-15 |
| 1528612090 | Leora A Shimunov | Specialist | 147-32 70th Ave, Flushing, NY 11367 | 2019-08-01 |
| 1922651918 | Triborough Medical Pllc | Anesthesiology | 150-31 Union Tpke, Office of Daniel Khaimov, Md, Flushing, NY 11367 | 2019-07-19 |
| 1700343993 | Steven Bernard Markowitz | Preventive Medicine | Queens College - 65-30 Kissena Blvd, Commoner Center- Remsen 311, Queens, NY 11367 | 2019-02-25 |
| 1336617406 | Amira Awadallah | Pharmacist | 15315 79 Ave, Flushing, NY 11367 | 2018-11-07 |
| 1336624097 | Diana Yocheved Shalev | Pharmacist | 14905 79th Ave Apt 511, Flushing, NY 11367 | 2018-09-28 |
| 1417447731 | Yashuo Fazilova | Registered Nurse | 144-60 Gravett Road, Apt. 2c, Flushing, NY 11367 | 2018-05-11 |
| 1467951947 | Edward Pineles, M.d., P.C. | Internal Medicine | 69-20 Main Street, Flushing, NY 11367 | 2018-02-09 |
| 1164920500 | L & M Caring Services Inc | Occupational Therapist | 144-29 Melbourne Ave, Flushing, NY 11367 | 2018-01-31 |
| 1720597610 | Christine Simmons | Licensed Practical Nurse | 67-39 Kissena Blvd #1a, Flushing, NY 11367 | 2017-09-24 |
| Find all providers in zip 11367 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801357918 | Shining Dental Pllc | Dentist | 14238 37th Ave Unit 1f, Flushing, NY 11354-4569 | 2019-03-29 |
| 1841602745 | Helen Kim | Dentist | 13107 40th Rd Ste E30, Flushing, NY 11354-5205 | 2014-05-27 |
| 1659639326 | Jia Huang | Dentist | 13620 38th Ave Ste 8h, Flushing, NY 11354-4232 | 2012-05-01 |
| 1558688770 | Erica Chang | Dentist | 4346 157th St Fl 2, Flushing, NY 11355-1344 | 2010-04-27 |
| 1932361144 | Lily Ye | Dentist | 14209 60th Ave, Flushing, NY 11355-5301 | 2008-06-29 |
| 1760603906 | Sung Ran Hong | Dentist | 14207 37th Ave, Flushing, NY 11354-4102 | 2007-05-02 |
| 1205982196 | Chiranjib Dutta | Dentist | 36 61 Main Street, Flushing, NY 11354 | 2007-01-25 |
| 1871604371 | Laser Dentistry for Children, LLC | Dentist | 13514 Jewel Ave, Flushing, NY 11367-1920 | 2006-08-31 |
| 1932182755 | Silvestro Iommazzo Jr. | Dentist | 176 -60 Union Turnpike, Suite 120, Flushing, NY 11366 | 2005-11-25 |
| 1164403440 | Yar Yin Lee | Dentist | 13911 Franklin Ave, 1 Fl, Flushing, NY 11355-3342 | 2005-11-14 |
| Find all providers in FLUSHING | ||||
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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.