DR. STACY LYNN JACOBS (NPI# 1801096078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801096078 |
| Entity Type | Individual |
| Full Name | DR. STACY LYNN JACOBS |
| Credential | MD |
| Practice Address |
233 E 69th St Apt 8b New York NY 10021-5414 |
| Practice Telephone | 2125175406 |
| Practice Fax Number | 2125351564 |
| Mailing Telephone | 2125175406 |
| Mailing Fax Number | 2125351564 |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2014-05-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
225209 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
233 E 69TH ST APT 8B |
| City | NEW YORK |
| State | NY |
| Zip Code | 10021-5414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699878736 | Larry Judah Shemen | Otolaryngology | 233 E 69th St, Suite 1d, New York, NY 10021-5414 | 2006-09-06 |
| 1205197530 | Jennifer Schwartz | Speech-Language Pathologist | 233 E 69th St, 11k, New York, NY 10021-5414 | 2012-06-04 |
| 1811142102 | Rachel J Khasky-levy | Speech-Language Pathologist | 233 E 69th St, Apt 2k, New York, NY 10021-5414 | 2008-12-01 |
| 1285849505 | Larry Judah Shemen, M.d., P.C. | Clinic/Center | 233 E 69th St, Suite 1d, New York, NY 10021-5414 | 2007-05-11 |
| 1316031628 | Joyce A. Newman | Obstetrics & Gynecology | 233 E 69th St, Suite 1a, New York, NY 10021-5414 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720609175 | Haneen Qadourah | Student in an Organized Health Care Education/Training Program | Weillcornellinternalmedicineassociates, 505east70thstreet, Newyorkcity, NY 10021 | 2020-04-27 |
| 1114547080 | Mohd Omair Jamil | Pharmacist | 530 East 74th Street, 10281, New York, NY 10021 | 2020-04-21 |
| 1750915062 | Radoslav Jovanovic, Md and Kevin Jovanovic, Md | Obstetrics & Gynecology | 930 Fifth Avenue, Suite 3, New York, NY 10021 | 2020-02-25 |
| 1750915344 | Stacyann S Foster | Nurse Practitioner | 1305 York Avenue 2nd Floor, New York, NY 10021 | 2020-02-24 |
| 1477184547 | John Schipano | Pharmacist | Zitomer, 969 Madison Ave, New York, NY 10021 | 2020-01-28 |
| 1932741253 | Memorial Sloan Kettering Cancer Center | Pharmacy | 530 East 74 Street, Room 1101, New York, NY 10021 | 2019-10-09 |
| 1922656875 | Kouros Emami | Clinical Neuropsychologist | 525 East 71st St., 5th Floor, New York, NY 10021 | 2019-09-03 |
| 1083262539 | Uptown Surgical Services P.c | Clinic/Center | 111 East 71st Street, New York, NY 10021 | 2019-08-28 |
| 1316591209 | Siddiqi Medical P.C. | Internal Medicine | Archcare At Mary Manning Walsh Home, 1339 York Avenue, New York, NY 10021 | 2019-07-29 |
| 1942763602 | Alisha Bouzaher | Student in an Organized Health Care Education/Training Program | 439 East 71st, 1st Floor, New York, NY 10021 | 2019-04-10 |
| Find all providers in zip 10021 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122709 | Rayane Issa | Radiology | 109 E 102nd St Apt 2g, New York, NY 10029-5896 | 2020-10-24 |
| 1871137828 | Vetri Sudar Jayaprakasam | Radiology | 1233 York Ave Apt 17i, New York, NY 10065-6342 | 2019-11-03 |
| 1447801808 | Elisabeth O'dwyer | Radiology | 525 E 68th St. Radiology, Cornell/new York Presbyterian, New York, NY 10021-4870 | 2019-09-26 |
| 1912289828 | Penny Saxon | Radiology | One Gustave L. Levy Place Box 1234, Department of Radiology The Mount Sinai Medical Center, New York, NY 10029-6574 | 2011-09-16 |
| 1124319710 | Weill Medical College of Cornell University | Radiology | 516 E 72nd St, New York, NY 10021-4804 | 2011-04-29 |
| 1245478486 | Kiran Chandrakant Rajmane | Radiology | 211 N End Ave, Apt 14q, New York, NY 10282-1222 | 2009-01-26 |
| 1477726156 | Galina Levin | Radiology | 1st Ave, Beth Israel Medical Center, New York, NY 10003 | 2008-04-02 |
| 1699947515 | Angela M Yim | Radiology | First Ave At 16th St, Beth Israel Medical Center, New York, NY 10003 | 2008-03-31 |
| 1538375845 | Bimc Faculty Practice | Radiology | 1st Avenue & 16th Street, Department of Radiology, New York, NY 10003-4901 | 2007-05-15 |
| 1225151343 | Hoon Ji | Radiology | 660 1st Ave Fl 3, New York, NY 10016-3295 | 2007-04-06 |
| Find all providers in NEW YORK | ||||
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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.