DR. LAURIE G JACOBS (NPI# 1093890865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093890865 |
| Entity Type | Individual |
| Full Name | DR. LAURIE G JACOBS |
| Credential | MD |
| Practice Address |
Medical Arts Pavilion 3400 Bainbridge Avenue Bronx NY 10467 |
| Mailing Address |
30 Prospect Avenue Hackensack NJ 07601 |
| Practice Telephone | 8666338255 |
| Mailing Telephone | 5519962000 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2016-12-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
25MA09916100 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0530328 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487702569 | Laurie Beth Jacobs | Dental Hygienist | 8627 Cinnamon Creek Dr Bldg 401, The Omo Group, San Antonio, TX 78240 | 2007-01-08 |
| 1447600754 | Laurie Jacobs | Speech-Language Pathologist | 24600 Millstream Dr, Suite 340, Stone Ridge, VA 20105-5685 | 2016-06-16 |
| 1851561864 | Laurie Jacobs | Marriage & Family Therapist | 1122 Clement St, San Francisco, CA 94118-2115 | 2008-03-05 |
| 1275675951 | Laurie B Jacobs | Dentist | 708 Foulk Rd, Wilmington, DE 19803-3734 | 2007-02-12 |
| Street Address |
MEDICAL ARTS PAVILION 3400 BAINBRIDGE AVENUE |
| City | BRONX |
| State | NY |
| Zip Code | 10467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225127632 | Amy R Ehrlich | Internal Medicine | Medical Arts Pavilion, 3400 Bainbridge Avenue, Bronx, NY 10467 | 2006-10-12 |
| 1750466520 | Joel Neugarten | Internal Medicine | Medical Arts Pavilion, 3400 Bainbridge Avenue, Bronx, NY 10467 | 2006-10-27 |
| 1225113541 | Michael L Swerdlow | Psychiatry & Neurology | Medical Arts Pavilion, 3400 Bainbridge Avenue, 5th Fl, Bronx, NY 10467 | 2006-10-26 |
| 1124103817 | David M Kaufman | Psychiatry & Neurology | Medical Arts Pavilion, 3400 Bainbridge Avenue, #5a, Bronx, NY 10467 | 2006-10-25 |
| 1366524514 | Brian J Cushin | Surgery | Medical Arts Pavilion, 3400 Bainbridge Avenue, 4th Fl, Bronx, NY 10467 | 2006-10-19 |
| 1376625525 | Arnold W Berlin | Surgery | Medical Arts Pavilion, 3400 Bainbridge Avenue, 4th Fl, Bronx, NY 10467 | 2006-10-19 |
| 1073694402 | Gerald S Kolbert | Ophthalmology | Medical Arts Pavilion, 3400 Bainbridge Avenue, Bronx, NY 10467 | 2006-10-19 |
| 1417038845 | Jeffrey S Schultz | Ophthalmology | Medical Arts Pavilion, 3400 Bainbridge Ave., Ste. 123, Bronx, NY 10467 | 2006-10-19 |
| 1134200561 | Raphael S Bloch | Ophthalmology | Medical Arts Pavilion, 3400 Bainbridge Avenue, Bronx, NY 10467 | 2006-10-19 |
| 1235210667 | Judith E Gurland | Ophthalmology | Medical Arts Pavilion, 3400 Bainbridge Avenue, Bronx, NY 10467 | 2006-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535505 | Maxwell Ennist | Massage Therapist | 210 Bedford Park Blvd, Bronx, NY 10467 | 2020-10-09 |
| 1144854431 | Ny Metro Dental, PC | Dentist | 55 Mosholu Parkway North, Bronx, NY 10467 | 2020-02-26 |
| 1386277960 | Rhonda Ellen Nayberg | Occupational Therapist | Montefiore Medical Center Occupational Therapy Dept, 111 E 210 Street Ground Floor Blue Zone, Bronx, NY 10467 | 2020-02-21 |
| 1013568153 | Jaime Luis Betancourt | Nurse Practitioner | Sickle Cell Clinic, 3400 Bainbridge Avenue, Bronx, NY 10467 | 2019-09-20 |
| 1023662616 | Bronx Jewish Community Council Home Attendant Services | Home Health | 2930 Wallace Ave., Bronx, NY 10467 | 2019-07-31 |
| 1831755321 | Felix Medrano | Taxi | 3106 Webster Ave, Bronx, NY 10467 | 2019-05-10 |
| 1700363108 | Danaies Guzman | Occupational Therapist | 2410 Barker Avenue Apt 11a, Bronx, New York, NY 10467 | 2018-07-27 |
| 1538672175 | Carolina Duque-toro | Speech-Language Pathologist | 4251, 341 E 207th St, Bronx, NY 10467 | 2017-11-06 |
| 1255853727 | Jessica Perkiss | Social Worker | 750 Tilden St., Astor Services for Children and Families, Bronx, NY 10467 | 2017-07-17 |
| 1386166221 | Erica Santos | Licensed Practical Nurse | 3273 Parkside Place, Apt 5g, Bronx, NY 10467 | 2017-07-12 |
| Find all providers in zip 10467 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1245462621 | Sharad Kothari | Internal Medicine | 3979 Laconia Ave, Bronx, NY 10466-4916 | 2009-08-18 |
| 1124288170 | Alina Gory | Internal Medicine | 664 Thwaites Pl Apt 2a, Bronx, NY 10467-7925 | 2008-06-12 |
| 1962684373 | Alejandra Villalobos | Internal Medicine | 1 Fordham Plz Ste 1000, Bronx, NY 10458-5871 | 2007-11-28 |
| 1497955041 | Bernard Stern | Internal Medicine | 3128 Palisade Ave, Bronx, NY 10463-1014 | 2007-07-23 |
| 1518019124 | Carole Michelsen | Internal Medicine | 66 Van Cortlandt Park South, St. Patricks Home, Bronx, NY 10463 | 2007-01-17 |
| 1356429740 | Riverdale Internal Medicine & Geriatric Services, PC | Internal Medicine | 5601 Riverdale Ave, Suite 1d, Bronx, NY 10471-2119 | 2006-11-01 |
| 1598851628 | Anna Skokowska-lebelt | Internal Medicine | 4141 Carpenter Ave, Renal Unit, Bronx, NY 10466-2600 | 2006-10-05 |
| 1932206752 | Hannah I Lipman | Internal Medicine | Mmc - Dept of Internal Med, 111 East 210th Street, Bronx, NY 10467 | 2006-09-20 |
| 1306888086 | Jomarie Zeleznik | Internal Medicine | 3224 Grand Concourse, #ba, Bronx, NY 10458-1008 | 2006-06-10 |
| 1083667935 | Srinivasa Reddy Adapa | Internal Medicine | 3950 White Plains Rd, Bronx, NY 10466-3026 | 2006-05-19 |
| Find all providers in BRONX | ||||
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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.