LONG ISLAND WOMEN'S OBSTETRICS AND GYNECOLOGY PLLC (NPI# 1851690788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851690788 |
Entity Type | Organization |
Organization Name | LONG ISLAND WOMEN'S OBSTETRICS AND GYNECOLOGY PLLC |
Other Organization Name | LONG ISLAND WOMEN'S OBS/GYN |
Practice Address |
3003 New Hyde Park Rd Suite 407 New Hyde Park NY 11042-1206 |
Practice Telephone | 5164888145 |
Practice Fax Number | 5164886722 |
Mailing Telephone | 5164888145 |
Mailing Fax Number | 5164886722 |
Enumeration Date | 2011-03-17 |
Last Update Date | 2011-03-17 |
Authorized Official Name | DR. JESSICA R JACOB (PHYSCIAN/OWNER SOLO LLC PRACTICE) |
Authorized Official Telephone | 5164888145 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
161044 | NY | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Long Island Women's Obs/gyn | Other Name - Individual/Organization |
Street Address |
3003 NEW HYDE PARK RD SUITE 407 |
City | NEW HYDE PARK |
State | NY |
Zip Code | 11042-1206 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861498198 | Gastro Anesthesia Services, PC | Anesthesiology | 3003 New Hyde Park Rd, Suite 309, New Hyde Park, NY 11042-1206 | 2005-06-22 |
1427669654 | Donna Jean Doherty | Nurse Practitioner | 3003 New Hyde Park Rd, New Hyde Park, NY 11042-1206 | 2020-08-12 |
1912518184 | Jonathan Phua | Physician Assistant | 3003 New Hyde Park Rd, New Hyde Park, NY 11042-1206 | 2020-08-12 |
1184199713 | Alex Lee | Surgery | 3003 New Hyde Park Rd, New Hyde Park, NY 11042-1206 | 2018-10-10 |
1326525767 | Joan Claire Zimmeck | Surgery | 3003 New Hyde Park Rd, New Hyde Park, NY 11042-1206 | 2018-07-27 |
1649722273 | Jessica Maria Molina | Nurse Practitioner | 3003 New Hyde Park Rd, #309, New Hyde Park, NY 11042-1206 | 2016-10-31 |
1013464684 | David Lomasney P.C. | Surgery | 3003 New Hyde Park Rd, Suite 309, New Hyde Park, NY 11042-1206 | 2016-09-01 |
1841642410 | Jonathan D S Klein Md PC | Surgery | 3003 New Hyde Park Rd, Ste 309, New Hyde Park, NY 11042-1206 | 2016-07-07 |
1609246339 | Price Pediatric Pulmonology, PC | Pediatrics | 3003 New Hyde Park Rd, Suite 204, New Hyde Park, NY 11042-1206 | 2015-10-07 |
1598141343 | Michaelle Zerykier | Audiologist | 3003 New Hyde Park Rd, Suite 409, New Hyde Park, NY 11042-1206 | 2015-08-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649871260 | Advanced Cardiovascular Diagnostics, Pllc | Internal Medicine | 410 Lakeville Road Suite 209, New Hyde Park, NY 11042 | 2020-11-02 |
1568093771 | Global Slp Ot Pt & Psychological Services, Pllc | Physical Therapist | 1979 Marcus Avenue - Suite 204, Attn: Jon Polish, Lake Success, NY 11042 | 2020-01-28 |
1730745761 | Miriam Korbman | Psychologist | 2001 Marcus Ave Suite E128, Lake Success, NY 11042 | 2019-05-15 |
1306402409 | Swachi Jain | Student in an Organized Health Care Education/Training Program | Northwell Health Pathology, 6 - Ohio Drive, Suite 202, Lake Success, NY 11042 | 2019-05-14 |
1215407432 | Samara Carly Badash | Physical Therapist | Brookville Center for Children's Services, 1983 Marcus Avenue, Suite E100, New Hyde Park, NY 11042 | 2018-11-30 |
1720578578 | Nidhi Kataria | Student in an Organized Health Care Education/Training Program | Department of Pathology and Laboratory Medicine, Northw, 6 Ohio Drive, Suite 202, Lake Success, NY 11042 | 2018-05-17 |
1558870162 | Rosemary Elizabeth Fine | Nurse Practitioner | 1999 Marcus Ave Ste 306, New Hyde Park, NY 11042 | 2017-09-26 |
1255861159 | Nicole Renee Cohen | Speech-Language Pathologist | 1893 Marcus Ave, C118, New Hyde Park, NY 11042 | 2017-06-14 |
1366807943 | Molly Rubinoff | Nurse Practitioner | 1215 One Hollow Lane, #301, New Hyde Park, NY 11042 | 2015-12-23 |
1255701959 | Prohealth Dental Pllc | Dentist | 1 Pro Health Plz, Suite 115, New Hyde Park, NY 11042 | 2015-10-07 |
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Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
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1285242966 | Nhp Medical PC | Clinic/Center | 388 Hillside Ave, New Hyde Park, NY 11040-2524 | 2020-07-17 |
1679947824 | Quantum Osteopathic Care, PC | Clinic/Center | 114 S 2nd St, New Hyde Park, NY 11040-4833 | 2015-11-25 |
1376977256 | Marc A Singer Md | Clinic/Center | 2800 Marcus Ave, Suite 203, New Hyde Park, NY 11042-1113 | 2013-08-27 |
1437583630 | Harry S. Jacob Md | Clinic/Center | 2800 Marcus Ave, Suite 203, New Hyde Park, NY 11042-1113 | 2013-08-25 |
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1821601352 | Xian Medical Care PC | Clinic/Center | 2010 Bay Ridge Pkwy, Brooklyn, NY 11204-5925 | 2020-08-25 |
1952920795 | Divine Medical LLC | Clinic/Center | 13163 233rd St # 1, Rosedale, NY 11422-1305 | 2020-04-12 |
1972159333 | Ap Medical Care PC | Clinic/Center | 3506 73rd St Ste 2, Jackson Heights, NY 11372-4104 | 2019-08-12 |
1982258422 | Schenk Primary Care Medicine, Pllc | Clinic/Center | 2350 Maple Road Suite 100, Amherst, NY 14221 | 2019-08-01 |
1356993976 | Mingzhu Medical Office, P.C. | Clinic/Center | 5615 7th Ave Fl 2, Brooklyn, NY 11220-3509 | 2019-07-13 |
1417509357 | Henderson Health Services Family Nurse Practitioner Pllc | Clinic/Center | 4 Clarion Dr, White Plains, NY 10603-2868 | 2019-07-11 |
1154988897 | Bissalam Medical LLC | Clinic/Center | 3391 3rd Ave Ste 1, Bronx, NY 10456-5355 | 2019-05-28 |
1851859961 | Lower Westchester Medical Associates, P.C. | Clinic/Center | 105 Stevens Ave Ste 305306, Mount Vernon, NY 10550-2686 | 2019-03-07 |
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City | NEW HYDE PARK |
Zip Code | 11042 |
Please comment or provide details below to improve the information on LONG ISLAND WOMEN'S OBSTETRICS AND GYNECOLOGY PLLC.
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.