DR. JACOB BABU (NPI# 1821236696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821236696 |
| Entity Type | Individual |
| Full Name | DR. JACOB BABU |
| Credential | MD |
| Practice Address |
155 Latham Rd Mineola NY 11501-2241 |
| Practice Telephone | 5166693357 |
| Enumeration Date | 2009-02-01 |
| Last Update Date | 2019-09-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 01069089A | IN | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 01069089A | IN | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 01069089B | IN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1104 E Grace St, Rensselaer, IN 479783211 | 2198665141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861804841 | Jacob Babu | Orthopaedic Surgery | 4940 Eastern Ave # A6, Baltimore, MD 21224-2735 | 2014-05-27 |
| Street Address |
155 LATHAM RD |
| City | MINEOLA |
| State | NY |
| Zip Code | 11501-2241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500350 | Steve Abraham Simon | Student in an Organized Health Care Education/Training Program | 222 Station Plaza, Suite 509, Mineola, NY 11501 | 2020-05-18 |
| 1407478167 | Frederick Milton Bosoy | Student in an Organized Health Care Education/Training Program | 259 1st St, Mineola, Ny 11501, Mineola, NY 11501 | 2020-05-15 |
| 1982226130 | Katelyn Anne Fowler | Counselor | [email protected], 410 East Jericho Tpke, Mineola, NY 11501 | 2020-05-11 |
| 1225667819 | New York Dialysis Services, Inc | Clinic/Center | 1 East Jericho Turnpike, Mineola, NY 11501 | 2020-04-06 |
| 1518500032 | Irina Victoria Kushnareva | Social Worker | 126 Saville Rd, Mineola, NY 11501 | 2019-10-28 |
| 1861046336 | Milagros M Matias | Case Manager/Care Coordinator | 39 E. Jericho Turnpike, Mineola, NY 11501 | 2019-08-01 |
| 1154974244 | Bahram Dabiri | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N., Suite 620 Mineola, Mineola, NY 11501 | 2019-07-18 |
| 1972168748 | Nabeel A. Arain | Physician Assistant | 251 1st St., Mineola, NY 11501 | 2019-05-07 |
| 1598328940 | Ramsha Jabbar | Student in an Organized Health Care Education/Training Program | 222 Station Plaza North, Suite 305, Mineola, NY 11501 | 2019-04-20 |
| 1235628850 | Valentyna Erstenyuk | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N, Suite 611, Mineola, NY 11501 | 2018-05-09 |
| Find all providers in zip 11501 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023577798 | New York University | Internal Medicine | 300 Old Country Rd Ste 103, Mineola, NY 11501-4112 | 2019-03-13 |
| 1467711507 | Niti Rajpal | Internal Medicine | 222 Station Plz N Ste 310, Mineola, NY 11501-3893 | 2012-05-10 |
| 1447516356 | Sigridh Alicia Munoz Gomez | Internal Medicine | 222 Station Plz N Ste 432, Mineola, NY 11501-3893 | 2012-04-04 |
| 1053607952 | Samuel Joon Park | Internal Medicine | 160 1st St Unit 551, Mineola, NY 11501-5025 | 2011-06-20 |
| 1902115363 | Jessica Widmer | Internal Medicine | 276 1st St Apt 1k, Mineola, NY 11501-2366 | 2010-10-04 |
| 1003049867 | Anitha Sara Mathew-shaji | Internal Medicine | 300 Old Country Rd Ste 31, Mineola, NY 11501-4112 | 2009-08-27 |
| 1689803736 | Dmitriy O. Khodorskiy | Internal Medicine | 222 Station Plz N Ste 429, Mineola, NY 11501-3889 | 2009-07-10 |
| 1699914234 | Irum Anwar Chaudhry | Internal Medicine | 131 Marcellus Rd, Mineola, NY 11501-2327 | 2009-02-04 |
| 1407091242 | Alan Wong | Internal Medicine | 146 Emory Rd, Mineola, NY 11501-2349 | 2008-12-09 |
| 1396906483 | Scott D Freeman | Internal Medicine | 222 Station Plz N Ste 605, Mineola, NY 11501-3893 | 2008-06-20 |
| Find all providers in MINEOLA | ||||
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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.