BEENA JACOB (NPI# 1699201970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699201970 |
| Entity Type | Individual |
| Full Name | BEENA JACOB |
| Practice Address |
285 Middle Country Rd Smithtown NY 11787-2978 |
| Mailing Address |
285 E Main St Ste 105 Smithtown NY 11787-2912 |
| Practice Telephone | 6315090390 |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2017-11-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F307794-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952416752 | Beena Jacob | Anesthesiology | 30 Hall Rd, Stoneham, MA 02180-1318 | 2006-08-20 |
| 1780249870 | Beena E Jacob | Nurse Practitioner | 10 E 102nd St, New York, NY 10029-6030 | 2019-05-05 |
| 1568930113 | Beena Jacob | Nurse Practitioner | 4505 Fair Meadows Ln Ste 101, Raleigh, NC 27607-6449 | 2018-11-12 |
| 1215101431 | Beena Jacob | Pharmacist | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2008-04-18 |
| 1770509200 | Beena Jacob | Physician Assistant | 201 Nw 82nd Ave, S. 501, Plantation, FL 33324-7808 | 2006-07-15 |
| Street Address |
285 MIDDLE COUNTRY RD |
| City | SMITHTOWN |
| State | NY |
| Zip Code | 11787-2978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548249873 | Timothy James Murphy IIi | Dentist | 285 Middle Country Rd, Suite Ll-7, Smithtown, NY 11787-2978 | 2006-01-13 |
| 1912531542 | Niti Praveen Mohan | Internal Medicine | 285 Middle Country Rd, Smithtown, NY 11787-2978 | 2020-02-21 |
| 1578043881 | Melissa Rodzen | Physician Assistant | 285 Middle Country Rd, Smithtown, NY 11787-2978 | 2018-08-16 |
| 1023487410 | Sj Chiropractic, P.C. | Chiropractor | 285 Middle Country Rd, Ste 204, Smithtown, NY 11787-2978 | 2015-09-16 |
| 1326421942 | Melanie Perlson | Clinic/Center | 285 Middle Country Rd, Smithtown, NY 11787-2978 | 2015-07-01 |
| 1801155130 | New York Spine Care Medical, PC | Physical Medicine & Rehabilitation | 285 Middle Country Rd, Suite- Ll6, Smithtown, NY 11787-2978 | 2012-05-07 |
| 1619249059 | North Shore Oral Surgery, LLC | Dentist | 285 Middle Country Rd, Suite #108, Smithtown, NY 11787-2978 | 2012-02-01 |
| 1760717292 | Smithtown Endodontics P.C. | Dentist | 285 Middle Country Rd, Smithtown, NY 11787-2978 | 2009-10-16 |
| 1295068930 | Middle Country Endocrinology, PC | Internal Medicine | 285 Middle Country Rd, Suite 105, Smithtown, NY 11787-2978 | 2009-09-14 |
| 1497988752 | Joseph Frank Dibernardo | Dentist | 285 Middle Country Rd, Smithtown, NY 11787-2978 | 2009-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
| 1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
| 1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
| 1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
| 1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
| 1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
| 1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
| 1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
| 1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
| 1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
| Find all providers in zip 11787 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346790755 | Catherine Audus | Nurse Practitioner | 60 Lindron Ave, Smithtown, NY 11787-1661 | 2016-10-10 |
| 1891120572 | Jennifer Jane Alfano | Nurse Practitioner | 50 New York 25a, Smithtown, NY 11787 | 2013-09-12 |
| 1003466780 | Heather Caligiuri | Nurse Practitioner | 50 New York Ave # 25a, Smithtown, NY 11787-3448 | 2019-09-16 |
| 1427512763 | Joseph Rosario | Nurse Practitioner | 1056 W Jericho Tpke, Smithtown, NY 11787-3212 | 2019-01-30 |
| 1063917136 | Diane Grassi | Nurse Practitioner | 285 E Main St, Smithtown, NY 11787-2978 | 2018-03-29 |
| 1093238222 | Jaclyn Sara Dimattei | Nurse Practitioner | 75 Landing Meadow Rd, Smithtown, NY 11787-1124 | 2017-07-19 |
| 1144751934 | Michael Cresson | Nurse Practitioner | 50 New York Ave # 25a, Cardiac Cath Lab, Smithtown, NY 11787-3448 | 2017-03-23 |
| 1164964755 | Ashley Kump | Nurse Practitioner | 1045 W Jericho Tpke, Smithtown, NY 11787-3205 | 2016-11-14 |
| 1447624655 | Kimberly Finnegan | Nurse Practitioner | 50 Route 25a, Smithtown, NY 11787-1348 | 2015-11-25 |
| 1780949776 | Charlene Benjamin | Nurse Practitioner | 257 E Middle Country Rd, Smithtown, NY 11787-2807 | 2012-07-06 |
| Find all providers in SMITHTOWN | ||||
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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.