MS. SUSAN SLOAN JACOBY (NPI# 1124050273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124050273 |
| Entity Type | Individual |
| Full Name | MS. SUSAN SLOAN JACOBY |
| Credential | APRN |
| Practice Address |
3030 Westchester Ave Purchase NY 10577 |
| Mailing Address |
2700 Westchester Ave Purchase NY 10577-2547 |
| Practice Telephone | 9148488030 |
| Practice Fax Number | 9148488031 |
| Mailing Telephone | 9146075730 |
| Mailing Fax Number | 2032611970 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2019-10-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
402856 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
003284 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | PENDING | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 24 Stevens St, Norwalk, CT 068503852 | 2038522000 | 2038522945 |
| 210 Westchester Ave, White Plains, NY 106042901 | 9148488030 | 9148488031 |
| 171 Huguenot St, New Rochelle, NY 108017760 | 9148488030 | 9148488031 |
| 1 Theall Rd, Rye, NY 105801404 | 9148488030 | 9148488031 |
| 1084 N Broadway, Yonkers, NY 107011107 | 9148488030 | 9148488031 |
| 73 Market St, Yonkers, NY 107107616 | 9148488030 | 9148488031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184089161 | Susan E Jacoby | Counselor | 5228 Ne Hoyt St, Portland, OR 97213-3055 | 2015-12-17 |
| 1154301133 | Susan Jacoby | Nurse Practitioner | 181 Franklin Health Commons, Farmington, ME 04938-6144 | 2006-01-18 |
| Street Address |
3030 WESTCHESTER AVE |
| City | PURCHASE |
| State | NY |
| Zip Code | 10577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051143 | Sheldon Alter | Internal Medicine | 3030 Westchester Ave, Purchase, NY 10577-2574 | 2005-05-27 |
| 1639770415 | Jennifer Llanos | Physical Therapist | 3030 Westchester Ave, Purchase, NY 10577-2574 | 2020-11-06 |
| 1821633918 | Sarah Jean Borchert | Physical Therapist | 3030 Westchester Ave, Purchase, NY 10577-2574 | 2019-11-12 |
| 1437700267 | Caitlin Mcnally | Social Worker | 3030 Westchester Ave, Purchase, NY 10577-2574 | 2019-09-23 |
| 1487211967 | Theresa H Brewer | Occupational Therapist | 3030 Westchester Ave, Purchase, NY 10577-2574 | 2019-05-21 |
| 1386116887 | Nataliya Yatsevich | Physical Therapist | 3030 Westchester Ave, Purchase, NY 10577 | 2018-12-20 |
| 1619461043 | Katherine Estelle Wolff | Physical Medicine & Rehabilitation | 3030 Westchester Ave, Purchase, NY 10577 | 2018-06-19 |
| 1093205098 | Lester John Tiglao Pena | Physical Therapist | 3030 Westchester Ave, Purchase, NY 10577-2574 | 2018-05-15 |
| 1184127151 | Patricia Louise Cerbo | Physical Therapist | 3030 Westchester Ave, Purchase, NY 10577-2574 | 2018-03-15 |
| 1083121149 | Jonathan Corti | Physical Therapist | 3030 Westchester Ave, Purchase, NY 10577-2574 | 2018-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164077475 | Nicholas Ghelarducci | Psychologist | 2700 Westchester Ave #300, Purchase, NY 10577 | 2019-08-04 |
| 1821507856 | Olubunkunola Bamgbose | Psychologist | 2700 Weschester Avenue, 300, Purchase, NY 10577 | 2017-09-21 |
| 1114334273 | Jessica Kim-vaghela | Obstetrics & Gynecology | 3010 Westchester Ave Ste 400, Purchase, NY 10577 | 2014-07-21 |
| 1912248675 | Massiel Grullon | Nurse Practitioner | 2700 Westchester Avenue, Purchase, NY 10577 | 2013-03-06 |
| 1952676959 | Jeremy Sean Lubin | Dentist | 2975 Westchester Ave. Suite 100, Purchase, NY 10577 | 2012-03-09 |
| 1669790259 | Jane Kim | Anesthesiology | 3030 Westchester Avenue, Purchase, NY 10577 | 2010-05-07 |
| 1184877854 | Jennifer Lynn Dolan | Behavioral Analyst | 2500 Westchester Avenue, All About Kids, Purchase, NY 10577 | 2008-10-28 |
| 1467573642 | Cleopatra Y Espinosa | Physical Therapist | 3010 Westchester Avenue- Suite 107, Suite 107, Purchase, NY 10577 | 2007-04-03 |
| 1851446652 | Michael Joseph Bardwell | Chiropractor | 3000 Westchester Avenue, Suite 203, Purchase, NY 10577 | 2007-01-24 |
| 1528179694 | Michael A Werner Md PC | Urology | 2975 Westcher Ave, Suite G03, Purchase, NY 10577 | 2006-08-31 |
| Find all providers in zip 10577 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518794 | Johnson Oppong | Nurse Practitioner | 160 Theodore Fremd Ave Apt C2, Rye, NY 10580-2842 | 2020-11-08 |
| 1619578366 | Jecinter L Otieno | Nurse Practitioner | 195 Hillside Dr, Oneonta, NY 13820-3611 | 2020-11-07 |
| 1073113833 | Natalie Grant-villegas | Nurse Practitioner | 1210 Fulton St Apt 1, Brooklyn, NY 11216-2003 | 2020-10-29 |
| 1780284869 | Mary Gwynne Tillotson | Nurse Practitioner | 82 Oxford Ave, Buffalo, NY 14209-1406 | 2020-10-28 |
| 1780284273 | Angela Abramov | Nurse Practitioner | 141-30 Pershing Creacsent Apt 3c, Jamaica, NY 11435 | 2020-10-26 |
| 1407455967 | Marie J. Schwarz, Npp-bc PC | Nurse Practitioner | 133 E Main St Ste 3h, Babylon, NY 11702-3517 | 2020-10-25 |
| 1720687015 | Ashley Winn | Nurse Practitioner | 367 E Chester St, Long Beach, NY 11561-2324 | 2020-10-19 |
| 1114525961 | Tanya Monique Sydnor Holmes | Nurse Practitioner | 1601 Baldwin Blvd, Bay Shore, NY 11706-2145 | 2020-10-14 |
| 1669079976 | Mary Lynn Good | Nurse Practitioner | 3344 Chambers Rd # 200, Horseheads, NY 14845-1403 | 2020-10-08 |
| 1376140277 | Megan Elizabeth Bhatti | Nurse Practitioner | 2104 Delaware Ave Apt 1, Buffalo, NY 14216-3216 | 2020-10-04 |
| Find all providers with the same taxonomy | ||||
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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.