Mitchel Jacobs (NPI# 1144380205, PAC ID# 2860595105) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PULMONARY DISEASE.
Nation Provider ID (NPI) | 1144380205 |
PAC ID by PECOS | 2860595105 |
Professional Enrollment ID | I20070307000291 |
Full Name | Mitchel Jacobs |
Organization Legal Name | NASSAU PULMONARY AND CRITICAL CARE MEDICINE PC |
Address |
891 Northern Blvd Suite 203 Great Neck NY 11021-5305 |
Phone Number | 5167736300 |
Gender | M |
Credential | MD |
Graduation Year | 1985 |
Primary Specialty | PULMONARY DISEASE |
Secondary Specialties | CRITICAL CARE (INTENSIVISTS) |
Group Practice PAC ID | 1355448127 |
Number of Group Practice Members | 5 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
330106 | NS/LIJ HS-NORTH SHORE UNIVERSITY HOSPITAL AT MANHASSET |
Address | Phone | Organization |
---|---|---|
891 Northern Blvd, Suite 203, Great Neck, NY 11021-5305 | 5167736300 | NASSAU PULMONARY AND CRITICAL CARE MEDICINE PC |
Organization Legal Name | NASSAU PULMONARY AND CRITICAL CARE MEDICINE PC |
Physicians | 5 |
Name | Specialty | Organization | Address |
---|---|---|---|
Syed H Iqbal | Internal Medicine | Nassau Pulmonary and Critical Care Medicine PC | 891 Northern Blvd, Suite 203, Great Neck, NY 11021-5305 |
Farzin Rahmanou | Internal Medicine | Nassau Pulmonary and Critical Care Medicine PC | 891 Northern Blvd, Suite 203, Great Neck, NY 11021-5305 |
Stephanie Ragone | Nurse Practitioner | Nassau Pulmonary and Critical Care Medicine PC | 891 Northern Blvd, Suite 203, Great Neck, NY 11021-5305 |
Kristen E Porreca | Nurse Practitioner | Nassau Pulmonary and Critical Care Medicine PC | 891 Northern Blvd, Suite 203, Great Neck, NY 11021-5305 |
Street Address |
891 NORTHERN BLVD SUITE 203 |
City | GREAT NECK |
State | NY |
Zip | 11021-5305 |
Name | Specialty | Organization | Address |
---|---|---|---|
Syed H Iqbal | Internal Medicine | Nassau Pulmonary and Critical Care Medicine PC | 891 Northern Blvd, Suite 203, Great Neck, NY 11021-5305 |
Farzin Rahmanou | Internal Medicine | Nassau Pulmonary and Critical Care Medicine PC | 891 Northern Blvd, Suite 203, Great Neck, NY 11021-5305 |
Stephanie Ragone | Nurse Practitioner | Nassau Pulmonary and Critical Care Medicine PC | 891 Northern Blvd, Suite 203, Great Neck, NY 11021-5305 |
Roopal Sampat | Nephrology | Long Island Kidney and Hypertension PC | 891 Northern Blvd, Suite 203, Great Neck, NY 11021-5305 |
Abrar Husain | Nephrology | Long Island Kidney and Hypertension PC | 891 Northern Blvd, Suite 203, Great Neck, NY 11021-5305 |
Kristen E Porreca | Nurse Practitioner | Nassau Pulmonary and Critical Care Medicine PC | 891 Northern Blvd, Suite 203, Great Neck, NY 11021-5305 |
Michelle Hill | Registered Dietitian Or Nutrition Professional | Sdc Nutrition, PC | 891 Northern Blvd, Great Neck, NY 11021-5305 |
Name | Specialty | Organization | Address |
---|---|---|---|
Victor J Defazio | Psychologist, Clinical | 10 Grave Ave, Suite 9, Great Neck, NY 11021 | |
Philip M Ninan | Psychiatry | 935 Northern Boulevard, Suite 102, Great Neck, NY 11021 | |
Jerelyn R Marcus | Optometry | 93 Bayview Ave, Great Neck, NY 11021-1015 | |
Daniel Aryeh | Physical Therapy | 200 Middle Neck Rd, Suite H, Great Neck, NY 11021-1107 | |
Helen Beegel | Clinical Social Worker | 160 Middle Neck Rd, Apt 3b, Great Neck, NY 11021-1207 | |
Rosalie L Feder | Clinical Social Worker | 134 Middleneck Rd, Great Neck, NY 11021-1224 | |
Mitchell Siegel | Podiatry | 32 Maple Dr, Great Neck, NY 11021-1240 | |
Eleonora Tamayeva | Optometry | Great Neck Optometrist PC | 146 Middle Neck Rd, Great Neck, NY 11021-1246 |
Kioomars Moosazadeh | Physical Medicine and Rehabilitation | 140 Middle Neck Rd, Great Neck, NY 11021-1246 | |
Ebrahim Sadighim | Internal Medicine | 138 Middle Neck Rd, Great Neck, NY 11021-1246 | |
Find all physicians in zip 11021 |
City | GREAT NECK |
Zip Code | 11021 |
Specialty | PULMONARY DISEASE |
City + Specialty | GREAT NECK + PULMONARY DISEASE |
Please comment or provide details below to improve the information on Mitchel Jacobs.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.