MR. DANIEL R JACOBSEN (NPI# 1295966885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295966885 |
| Entity Type | Individual |
| Full Name | MR. DANIEL R JACOBSEN |
| Credential | MS, FNP-BC |
| Practice Address |
225 Community Dr South Entrance Great Neck NY 11021-5506 |
| Practice Telephone | 5164661980 |
| Practice Fax Number | 5164661954 |
| Mailing Telephone | 5164661980 |
| Mailing Fax Number | 5164661954 |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2010-07-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 401484-1 | NY | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
336009 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750462008 | Daniel Allen Jacobsen | Social Worker | 3601 Chamberlayne Ave, Richmond, VA 23227 | 2006-10-17 |
| 1629178199 | Daniel Jacobsen | Chiropractor | 8530 Wilshire Blvd., 250, Beverly Hills, CA 90211 | 2006-09-25 |
| 1881255669 | Daniel Jacobsen | Physical Therapy Assistant | 3200 S 20th St, Milwaukee, WI 53215-4442 | 2019-06-24 |
| 1780121830 | Daniel Jacobsen | Nurse Practitioner | 3555 Sunset Office Dr, Ste. C102, Saint Louis, MO 63127-1015 | 2017-01-27 |
| 1952688293 | Daniel R Jacobsen | Dentist | 3220 Gerig Dr, Bloomington, IL 61704-6394 | 2011-11-15 |
| 1124311477 | Daniel Jacobsen | Rehabilitation Practitioner | 2560 Business Pkwy Ste B, Minden, NV 89423-8961 | 2011-05-19 |
| Street Address |
225 COMMUNITY DR SOUTH ENTRANCE |
| City | GREAT NECK |
| State | NY |
| Zip Code | 11021-5506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346286861 | Marvin E Cramer | Internal Medicine | 225 Community Dr, Great Neck, NY 11021-5506 | 2006-06-22 |
| 1598363459 | Kristin Heather Gullo | Nurse Practitioner | 225 Community Dr, Great Neck, NY 11021-5503 | 2020-10-13 |
| 1821531898 | Sina Drug LLC | Pharmacy | 225 Community Dr, Ste 100, Great Neck, NY 11021 | 2016-11-23 |
| 1013461276 | Blayne Manning | Nurse Practitioner | 225 Community Dr, #110, Great Neck, NY 11021-5503 | 2016-08-05 |
| 1609253673 | Judith Knaupp | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 225 Community Dr, Suite 110, Great Neck, NY 11021-5503 | 2015-04-29 |
| 1134517352 | Oncomed Specialty LLC | Pharmacy | 225 Community Dr, Ste 100, Great Neck, NY 11021-5503 | 2014-12-23 |
| 1609273655 | Raisa Abramova | Nurse Practitioner | 225 Community Dr, South Enterance, Great Neck, NY 11021-5503 | 2014-11-19 |
| 1568878304 | Frank Scimeca | Pharmacist | 225 Community Dr, Suite 100, Great Neck, NY 11021-5503 | 2014-07-01 |
| 1225461015 | Michele Marie Disco | Genetic Counselor, MS | 225 Community Dr, Great Neck, NY 11021-5503 | 2013-08-15 |
| 1093070690 | Christine Wang | Pharmacist | 225 Community Dr, Suite 130, Great Neck, NY 11021-5503 | 2012-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760097927 | Vital Balance Osteopathy, Pllc | Psychiatry & Neurology | 10 Bond Street, Ste 1, #290, Great Neck, NY 11021 | 2020-09-14 |
| 1770131922 | Bond Orthodontics & Dental Care Pllc | Dentist | 12 Bond Street., Suite#c4, Great Neck, NY 11021 | 2019-08-30 |
| 1295393858 | Ctrip.nyc, Inc. | Emergency Response System Companies | 3 Grace Ave, Suite 106, Great Neck, NY 11021 | 2019-05-30 |
| 1366929267 | Vishva Vajra Acupuncture PC | Acupuncturist | 23a Middle Neck Road, Great Neck, NY 11021 | 2018-07-24 |
| 1518457530 | Assured Quality Home Care, Inc. | In Home Supportive Care | 885 Northern Blvd., Greak Neck, NY 11021 | 2018-05-15 |
| 1881183275 | Liat Mindy Brody | Occupational Therapist | 7 Hickory Dr, Great Neck, NY 11021 | 2018-05-01 |
| 1457853707 | Allison Squillace | Social Worker | 7 Bond Suite 1a, Great Neck, NY 11021 | 2018-03-02 |
| 1275042855 | Seolhee Kang | Acupuncturist | 26 Linden Street, Apt 4c, Great Neck, NY 11021 | 2017-09-26 |
| 1346781598 | Sara Dreiblatt | Speech-Language Pathologist | 211-45 46th Road, Queens, NY 11021 | 2017-03-20 |
| 1962853416 | Darron Yelling Do, PC | Surgery | 305 Northen Blvd, 105, Great Neck, NY 11021 | 2016-06-27 |
| Find all providers in zip 11021 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164890570 | Jaclyn Suzanne Schindler | Nurse Practitioner | 11 Wensley Dr, Great Neck, NY 11021-4916 | 2015-09-02 |
| 1154670131 | Lydia Elizee | Nurse Practitioner | 4519 Iris Ln, Great Neck, NY 11020-1063 | 2012-09-05 |
| 1851677884 | Donna Marie Brook | Nurse Practitioner | 2 Farm Ln, Great Neck, NY 11020-1314 | 2011-10-21 |
| 1134421910 | London A'more Romero | Nurse Practitioner | 833 Northern Blvd Ste 220, Great Neck, NY 11021-5339 | 2010-11-30 |
| 1790396919 | Nicole Pelan | Nurse Practitioner | 1000 Northern Blvd Ste 360, Great Neck, NY 11021-5312 | 2020-08-11 |
| 1013540343 | Peter Magri Jr. | Nurse Practitioner | 1000 Northern Blvd, Great Neck, NY 11021-5338 | 2020-02-14 |
| 1568013795 | Ellie Slivko Beatus | Nurse Practitioner | 865 Northern Blvd Ste 101, Great Neck, NY 11021-5310 | 2019-09-29 |
| 1780241398 | Mini Susan Mammen | Nurse Practitioner | 310 E Shore Rd, Great Neck, NY 11023-2410 | 2019-05-20 |
| 1831752518 | Tannesha Dixon | Nurse Practitioner | 1010 Northern Blvd, Great Neck, NY 11021-5317 | 2019-04-17 |
| 1134618085 | Alicia Dee | Nurse Practitioner | 611 Northern Blvd Ste 150, Great Neck, NY 11021-5207 | 2018-05-07 |
| Find all providers in GREAT NECK | ||||
| City | GREAT NECK |
| Zip Code | 11021 |
Please comment or provide details below to improve the information on MR. DANIEL R JACOBSEN.
| 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.