SAMUEL SUNNY JACOB (NPI# 1134651391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134651391 |
| Entity Type | Individual |
| Full Name | SAMUEL SUNNY JACOB |
| Credential | D.O. |
| Practice Address |
888 Old Country Rd Plainview NY 11803-4914 |
| Practice Telephone | 5167192546 |
| Mailing Telephone | 5167192546 |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2017-03-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| 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 |
|---|---|---|---|---|
| 1992931414 | Samuel Jacob | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2009-06-10 |
| Street Address |
888 OLD COUNTRY RD |
| City | PLAINVIEW |
| State | NY |
| Zip Code | 11803-4914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871599597 | Glen Fleischhacker | Anesthesiology | 888 Old Country Rd, Plainview, NY 11803-4914 | 2005-06-27 |
| 1053921197 | Paradigm Medical Rehabilitation Pllc | Physical Medicine & Rehabilitation | 888 Old Country Rd, Plainview, NY 11803-4914 | 2020-08-04 |
| 1417575911 | Kumar Medical Pain Management PC | Physical Medicine & Rehabilitation | 888 Old Country Rd, Plainview, NY 11803-4914 | 2020-07-10 |
| 1639708746 | Colin Campbell | Student in an Organized Health Care Education/Training Program | 888 Old Country Rd, Plainview, NY 11803-4914 | 2020-04-02 |
| 1881223980 | Brandon Klein | Student in an Organized Health Care Education/Training Program | 888 Old Country Rd, Plainview, NY 11803-4914 | 2020-04-02 |
| 1144859240 | Maximillian Phillip Ganz | Student in an Organized Health Care Education/Training Program | 888 Old Country Rd, Plainview, NY 11803-4914 | 2020-04-02 |
| 1093344095 | Joshua Giordano | Student in an Organized Health Care Education/Training Program | 888 Old Country Rd, Plainview, NY 11803-4914 | 2020-04-02 |
| 1144859166 | Johann Braithwaite | Student in an Organized Health Care Education/Training Program | 888 Old Country Rd, Plainview, NY 11803-4914 | 2020-04-02 |
| 1851920813 | Lucas Bartlett | Student in an Organized Health Care Education/Training Program | 888 Old Country Rd, Plainview, NY 11803-4914 | 2020-04-02 |
| 1790313559 | Bryan Chisom Akpuaka | Student in an Organized Health Care Education/Training Program | 888 Old Country Rd, Plainview, NY 11803-4914 | 2020-03-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730797010 | Lynn Marie Viscusi | Chiropractor | 1163 Old Country Road, Plainview, NY 11803 | 2020-07-22 |
| 1649798240 | Audrey Demas | Early Intervention Provider Agency | 255 Executive Drive Suite Ll 105/108, Plainview, NY 11803 | 2017-09-03 |
| 1649798521 | Danielle J Walowitz | Specialist | 19 Pearl Drive, Plainview, NY 11803 | 2017-08-31 |
| 1437676178 | Jaclyn Heather Rosenblum | Speech-Language Pathologist | 2 Edgewood Gate, Plainview, NY 11803 | 2017-08-24 |
| 1548784531 | Giselle Cortez | Registered Nurse | 53 Belmont Avenue, Plainview, NY 11803 | 2017-08-01 |
| 1528500808 | Michelle Tamarez | Nurse Practitioner | 131 E. Ames Ct, Plainview, NEW YORK 11803 | 2016-11-17 |
| 1649656646 | Marjorie Elise Tirsun | Specialist | 10 Crestwood Drive, Plainview, NY 11803 | 2015-08-03 |
| 1295110872 | Elizabeth Scisci | Dentist | 146a Manetto Hill Rd Ste 100, Plainview, NY 11803 | 2015-07-24 |
| 1114332905 | Alberto Roman Cabezas | Internal Medicine | Sanchez, Curridabat, SAN JOSE 11803 | 2014-06-30 |
| 1568883148 | Chiropractic Doc Spine, PC | Chiropractor | 42 Ruby Ln, Plainview, NY 11803 | 2013-12-26 |
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| 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 |
|---|---|---|---|---|
| 1376163402 | Rayyan Alam | Student in an Organized Health Care Education/Training Program | 10 Cranford Rd, Plainview, NY 11803-4004 | 2020-04-18 |
| 1548722044 | Melissa Buccella | Student in an Organized Health Care Education/Training Program | 598 Plainview Rd, Plainview, NY 11803-5725 | 2019-04-03 |
| 1164806774 | Amir Wassif | Student in an Organized Health Care Education/Training Program | 27 Shelly Ct, Plainview, NY 11803-3139 | 2015-07-13 |
| 1487885232 | Lisa Grossman | Student in an Organized Health Care Education/Training Program | 115 Plymouth Rd, Plainview, NY 11803-2720 | 2009-07-28 |
| 1760080717 | Sheniqua Smith | Student in an Organized Health Care Education/Training Program | 55 W Ames Ct, Plainview, NY 11803-2304 | 2020-10-13 |
| 1639708746 | Colin Campbell | Student in an Organized Health Care Education/Training Program | 888 Old Country Rd, Plainview, NY 11803-4914 | 2020-04-02 |
| 1881223980 | Brandon Klein | Student in an Organized Health Care Education/Training Program | 888 Old Country Rd, Plainview, NY 11803-4914 | 2020-04-02 |
| 1144859240 | Maximillian Phillip Ganz | Student in an Organized Health Care Education/Training Program | 888 Old Country Rd, Plainview, NY 11803-4914 | 2020-04-02 |
| 1093344095 | Joshua Giordano | Student in an Organized Health Care Education/Training Program | 888 Old Country Rd, Plainview, NY 11803-4914 | 2020-04-02 |
| 1144859166 | Johann Braithwaite | Student in an Organized Health Care Education/Training Program | 888 Old Country Rd, Plainview, NY 11803-4914 | 2020-04-02 |
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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.