DR. JACOB BECKER (NPI# 1982269064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982269064 |
| Entity Type | Individual |
| Full Name | DR. JACOB BECKER |
| Credential | MD |
| Practice Address |
222 Station Plz N Ste 305 Mineola NY 11501-3893 |
| Practice Telephone | 5166634798 |
| Practice Fax Number | 5166632261 |
| Mailing Telephone | 5166634798 |
| Mailing Fax Number | 5166632261 |
| Enumeration Date | 2019-05-05 |
| Last Update Date | 2019-05-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245895325 | Jacob Becker | Student in an Organized Health Care Education/Training Program | 122 S River St, Waterford, WI 53185-4152 | 2019-05-05 |
| 1235653817 | Jacob A Becker | Chiropractor | 683 Old Mill Road, Millersville, MD 21108 | 2017-07-26 |
| 1679852271 | Jacob Joseph Becker | Radiology | 1 Hospital Dr # Dc018.00, Columbia, MO 65201-5276 | 2011-08-12 |
| 1083849210 | Jacob Julius Becker | Chiropractor | 25 Cherokee Blvd, Suite C, Chattanooga, TN 37405-3838 | 2009-05-18 |
| 1366659070 | Jacob Becker | Dentist | 662 Bedford Ave, Brooklyn, NY 11211-8017 | 2007-05-16 |
| Street Address |
222 STATION PLZ N STE 305 |
| City | MINEOLA |
| State | NY |
| Zip Code | 11501-3893 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255795563 | Daniel Tarazona | Student in an Organized Health Care Education/Training Program | 222 Station Plz N Ste 305, Mineola, NY 11501 | 2016-04-12 |
| 1053936708 | Paul J Tesoriero | Student in an Organized Health Care Education/Training Program | 222 Station Plz N Ste 305, Mineola, NY 11501-3893 | 2020-06-09 |
| 1750902599 | Ethan Winslow Ayres | Student in an Organized Health Care Education/Training Program | 222 Station Plz N Ste 305, Mineola, NY 11501-3893 | 2020-05-04 |
| 1356803001 | Lauren Seo | Student in an Organized Health Care Education/Training Program | 222 Station Plz N Ste 305, Mineola, NY 11501-3893 | 2019-04-02 |
| 1467942003 | Trevor Simcox | Student in an Organized Health Care Education/Training Program | 222 Station Plz N Ste 305, Mineola, NY 11501-3893 | 2018-05-17 |
| 1184114126 | Muhammad Tariq | Student in an Organized Health Care Education/Training Program | 222 Station Plz N Ste 305, Mineola, NY 11501-3893 | 2018-05-15 |
| 1912402942 | Rahman Majid | Student in an Organized Health Care Education/Training Program | 222 Station Plz N Ste 305, Mineola, NY 11501-3893 | 2018-03-30 |
| 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 | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| 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 |
| 1861013005 | Sanjeev Baldeo | Student in an Organized Health Care Education/Training Program | 222 Station Rd Ste 305, Mineola, NY 11501-3893 | 2020-04-28 |
| 1841821881 | Erek Jourdan Lucio | Student in an Organized Health Care Education/Training Program | 465 Jefferson Pl, Mineola, NY 11501-2215 | 2020-01-29 |
| 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 |
| 1700447984 | Nikita Gill | Student in an Organized Health Care Education/Training Program | 101 Jackson Ave Apt 4j, Mineola, NY 11501-2724 | 2019-06-27 |
| 1598328940 | Ramsha Jabbar | Student in an Organized Health Care Education/Training Program | 222 Station Plaza North, Suite 305, Mineola, NY 11501 | 2019-04-20 |
| 1235691544 | Tania Gennell | Student in an Organized Health Care Education/Training Program | 222 Station Plz N Ste 300, Mineola, NY 11501-3893 | 2019-04-04 |
| 1609338292 | Nicolas Gillingham | Student in an Organized Health Care Education/Training Program | 222 Station Plz N Fl 5, Mineola, NY 11501-3800 | 2019-04-02 |
| 1134615883 | Marie Anne Christine Buteau | Student in an Organized Health Care Education/Training Program | 259 1st St Ste 509, Mineola, NY 11501-3957 | 2018-07-05 |
| 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.