JERRY JACOB (NPI# 1538571799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538571799 |
| Entity Type | Individual |
| Full Name | JERRY JACOB |
| Credential | CRNA |
| Practice Address |
333 Route 25a Suite 225 Rocky Point NY 11778-8556 |
| Practice Telephone | 6317443671 |
| Practice Fax Number | 6317446205 |
| Mailing Telephone | 6317443671 |
| Mailing Fax Number | 6317446205 |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2017-11-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 573032 | NY | Allopathic & Osteopathic Physicians |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 105943 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342804 | Jerry Jacob | Physical Therapist | 5060 Davis Blvd, N Richland Hills, TX 76180-7004 | 2020-10-07 |
| 1902068273 | Jerry Jacob | Internal Medicine | 3400 Spruce St Ste E, Philadelphia, PA 19104-4223 | 2008-06-27 |
| Street Address |
333 ROUTE 25A SUITE 225 |
| City | ROCKY POINT |
| State | NY |
| Zip Code | 11778-8556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952387276 | Long Island Anesthesia Physicians LLP | Anesthesiology | 333 Route 25a, Suite 225, Rocky Point, NY 11778 | 2005-12-19 |
| 1720452758 | Gina L Schiavone | Anesthesiology | 333 Route 25a, Suite 225, Rocky Point, NY 11778-8556 | 2015-11-13 |
| 1659755536 | Colleen Erbis | Nurse Anesthetist, Certified Registered | 333 Route 25a, Rocky Point, NY 11778-8556 | 2015-07-10 |
| 1245613801 | Haldana Histand | Anesthesiology | 333 Route 25a, Rocky Point, NY 11778-8556 | 2015-07-01 |
| 1942568068 | Kevin Brian Lee | Anesthesiology | 333 Route 25a, Suite 225, Rocky Point, NY 11778-8556 | 2012-04-26 |
| 1437417672 | Brian Seho Cho | Anesthesiology | 333 Route 25a, Suite 225, Rocky Point, NY 11778-8556 | 2012-04-25 |
| 1437468865 | Michael V Lampasona | Nurse Anesthetist, Certified Registered | 333 Route 25a, Suite 225, Rocky Point, NY 11778-8802 | 2010-10-04 |
| 1942440250 | Susan Marie Draper | Registered Nurse | 333 Route 25a, Suite 225, Rocky Point, NY 11778-8802 | 2009-02-26 |
| 1861523946 | Christina Marie Hendershot | Specialist | 333 Route 25a, Rocky Point, NY 11778-8556 | 2007-03-08 |
| 1003958174 | Matthew Maddalena Kavanaugh | Physical Therapist | 333 Route 25a, Suite 240, Rocky Point, NY 11778-8556 | 2007-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093351819 | Richard John Pisacone | Physical Therapist | 745 Ny-25a, Rocky Point, NY 11778 | 2019-11-27 |
| 1609417492 | Essential Points Acupuncture | Acupuncturist | 170 25a, Rocky Point, NY 11778 | 2019-10-02 |
| 1891209888 | Behavioral Health Associates, Lcsw PC | Social Worker | 131 Rt. 25a, Suite 4, Rocky Point, NY 11778 | 2017-11-29 |
| 1477096543 | Ksusha Cascio | Social Worker | 38 Tarpon Rd, Rocky Point, NY 11778 | 2016-11-22 |
| 1134675721 | Dawn Kl Casper | Licensed Practical Nurse | 19 Soundway Drive, Rocky Point, NY 11778 | 2016-09-01 |
| 1316312911 | Anita Neogi Biswas | Nurse Practitioner | 745 Route 25a Ste A, Rocky Point, NY 11778 | 2015-12-08 |
| 1700228848 | Nanette Cohen | Specialist | 1363 Veterens Hywy, Hauppauge, NY 11778 | 2013-07-17 |
| 1487990131 | Kimberly Cher Coberg | Licensed Practical Nurse | 17 Grove Rd., Rocky Point, NY 11778 | 2012-12-28 |
| 1306108766 | Catherinemckeontureski | Local Education Agency (LEA) | 122 Hallocklanding Rd, Rocky Point, NY 11778 | 2012-06-12 |
| 1508135278 | Karen J Lukasz | Registered Nurse | 76 Rocky Point Yaphank Rd., Rocky Point, NY 11778 | 2011-12-23 |
| Find all providers in zip 11778 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659755536 | Colleen Erbis | Nurse Anesthetist, Certified Registered | 333 Route 25a, Rocky Point, NY 11778-8556 | 2015-07-10 |
| 1437468865 | Michael V Lampasona | Nurse Anesthetist, Certified Registered | 333 Route 25a, Suite 225, Rocky Point, NY 11778-8802 | 2010-10-04 |
| 1881740215 | Maryann E. Melucci | Nurse Anesthetist, Certified Registered | 333 Route 25a, Suite 225, Rocky Point, NY 11778 | 2007-01-26 |
| 1699789834 | Alison M Maletta | Nurse Anesthetist, Certified Registered | 333 Route 25a Ste 225, Rocky Point, NY 11778-8802 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639788581 | Chioma Ukachi Nwankwo | Nurse Anesthetist, Certified Registered | 835 Blooming Grove Tpke Apt 173, New Windsor, NY 12553-8163 | 2020-07-27 |
| 1528603230 | Catherina Luisa Stevens | Nurse Anesthetist, Certified Registered | 122 Day Spring Ct, Schenectady, NY 12306-3344 | 2019-11-18 |
| 1669021705 | Tahela Davidov | Nurse Anesthetist, Certified Registered | 27005 76th Ave # 11040, New Hyde Park, NY 11040-1402 | 2019-09-11 |
| 1588121792 | Aisha Powell | Nurse Anesthetist, Certified Registered | 2132 Wallace Ave Apt 246, Bronx, NY 10462-2504 | 2019-02-23 |
| 1144786765 | Michelle Giannetti | Nurse Anesthetist, Certified Registered | 1900 Empire Blvd # 221, Webster, NY 14580-1934 | 2019-02-19 |
| 1023591286 | Hans K Hoogs | Nurse Anesthetist, Certified Registered | 550 1st Ave Dept Of, New York, NY 10016-6402 | 2018-09-12 |
| 1639655475 | Julian Piazzola | Nurse Anesthetist, Certified Registered | 5843 59th St, Maspeth, NY 11378-3246 | 2018-07-16 |
| 1235622572 | Kathleen T Hipp | Nurse Anesthetist, Certified Registered | Nyu Langone Health Tisch Hospital, 550 First Avenue, New York, NY 10016 | 2018-06-12 |
| 1568953149 | Michelle Ng | Nurse Anesthetist, Certified Registered | 550 1st Ave Fl 5, New York, NY 10016-6402 | 2018-05-19 |
| 1164921326 | Edjona Groysman | Nurse Anesthetist, Certified Registered | 130 Stroud Ave, Staten Island, NY 10312-3244 | 2018-02-02 |
| Find all providers with the same taxonomy | ||||
| City | ROCKY POINT |
| Zip Code | 11778 |
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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.