JEFFREY JACOBSEN (NPI# 1710349865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710349865 |
| Entity Type | Individual |
| Full Name | JEFFREY JACOBSEN |
| Practice Address |
1007 Chamberlin Hill Rd Ext West Sand Lake NY 12196-2818 |
| Practice Telephone | 5183009662 |
| Mailing Telephone | 5183009662 |
| Enumeration Date | 2016-03-27 |
| Last Update Date | 2016-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172A00000X | Driver | 525239035 | NY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881854107 | Jeffrey R Jacobsen | Pathology | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2008-06-10 |
| Street Address |
1007 CHAMBERLIN HILL RD EXT |
| City | WEST SAND LAKE |
| State | NY |
| Zip Code | 12196-2818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124541917 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4357 Ny Hwy 150, West Sand Lake, NY 12196 | 2017-07-24 |
| 1598928012 | Center for Disability Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3995 Route 150, West Sand Lake, NY 12196 | 2008-07-03 |
| 1740461318 | Linda Lombardi | Pharmacist | 3701 Ny Highway 43, Box 372, West Sand Lake, NY 12196 | 2007-11-23 |
| 1528189495 | Thomas J. Degenero D.d.s. | Dentist | 4482 Ny Rte 150, West Sand Lake, NY 12196 | 2007-04-02 |
| 1750490074 | Rite Aid of New York Inc | Durable Medical Equipment & Medical Supplies | 4357 Ny Highway 150, West Sand Lake, NY 12196 | 2006-08-30 |
| 1629182076 | Sand Lake Ambulance, Inc. | Ambulance | 3643 Ny Route 43, West Sand Lake, NY 12196 | 2006-08-19 |
| 1457535577 | Rebecca A Kirchner | Pharmacist | 4357 Ny Highway 150, West Sand Lake, NY 12196 | 2007-12-26 |
| 1124101977 | Physical Therapy Associates of Schenectady, P.C. | Physical Therapist | 43 Mall, West Sand Lake, NY 12196-0387 | 2006-10-23 |
| 1396989448 | Casey Mulligan Walsh | Speech-Language Pathologist | 68 Valley Dr, West Sand Lake, NY 12196-1739 | 2009-04-20 |
| 1588845580 | Lisa A Burdick | Pharmacist | 84 Valley Dr, West Sand Lake, NY 12196-1739 | 2007-11-18 |
| Find all providers in zip 12196 | ||||
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700483138 | William Howard Horton II | Driver | 14 Woodrow Rd, Batavia, NY 14020-1202 | 2020-10-08 |
| 1881204642 | Peter Odion | Driver | 313 Utica Ave, Brooklyn, NY 11213-4998 | 2020-08-06 |
| 1407479363 | Ahmed A Mohammed | Driver | 724 23rd St # 2, Watervliet, NY 12189-2036 | 2020-05-26 |
| 1184250912 | Kaseem S Moore | Driver | 25 Pond Hill Ln, Walden, NY 12586-2264 | 2020-03-12 |
| 1710511233 | Bipil Tummala | Driver | 509 N Washington St Ste 1, Rome, NY 13440-4279 | 2020-02-24 |
| 1932733581 | Griffiths Dodzi Kpogli | Driver | 112 Tudor Pl Apt 4d, Bronx, NY 10452-8566 | 2020-02-22 |
| 1306477518 | Sam Eugene Moore Jr. | Driver | 33 Du Bois Ave, Poughkeepsie, NY 12601-2140 | 2020-01-28 |
| 1942830864 | Anthony Fulmore | Driver | 36 Hart St, Brooklyn, NY 11206-6402 | 2020-01-20 |
| 1659901890 | Blake Loren Kowalski | Driver | 284 Hidden Valley Rd, Rochester, NY 14624-2356 | 2020-01-15 |
| 1285272567 | Steven Marino Ramos | Driver | 713a Southern Blvd # 3, Bronx, NY 10455-2105 | 2019-12-17 |
| Find all providers with the same taxonomy | ||||
| City | WEST SAND LAKE |
| Zip Code | 12196 |
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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.