DR. CIMY SUSAN JACOB (NPI# 1912293184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912293184 |
| Entity Type | Individual |
| Full Name | DR. CIMY SUSAN JACOB |
| Credential | MD |
| Practice Address |
1074 S State St Dover DE 19901-6925 |
| Practice Telephone | 3026788100 |
| Mailing Telephone | 3026788100 |
| Enumeration Date | 2011-06-25 |
| Last Update Date | 2014-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
C1-0010960 | DE | Allopathic & Osteopathic Physicians |
| Street Address |
1074 S STATE ST |
| City | DOVER |
| State | DE |
| Zip Code | 19901-6925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063419497 | Robert James Varipapa | Psychiatry & Neurology | 1074 S State St, Dover, DE 19901-6925 | 2005-06-30 |
| 1932454618 | Cnmri Pa | Psychiatry & Neurology | 1074 S State St, Dover, DE 19901-6925 | 2012-07-18 |
| 1952656159 | Cnmri, Pa | Psychiatry & Neurology | 1074 S State St, Dover, DE 19901-6925 | 2012-07-13 |
| 1831116466 | James W Lust | Physician Assistant | 1074 S State St, Dover, DE 19901-6925 | 2006-07-17 |
| 1861449498 | Cnmri | Psychiatry & Neurology | 1074 S State St, Dover, DE 19901 | 2006-05-28 |
| 1265439582 | John Bernard Coll | Psychiatry & Neurology | 1074 S State St, Dover, DE 19901-6925 | 2005-07-01 |
| 1881691236 | Stephen Francis Penny | Psychiatry & Neurology | 1074 S State St, Dover, DE 19901-6925 | 2005-06-30 |
| 1346247723 | Joel Michael Rutenberg | Psychiatry & Neurology | 1074 S State St, Dover, DE 19901 | 2005-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386274488 | Aba Services, LLC | Behavioral Analyst | 8 The Green, Ste R, Dover, DE 19901 | 2020-01-17 |
| 1699332171 | Robin Lynn Maracle | Clinical Nurse Specialist | 640 S. State St., Mail Code 1403, Dover, DE 19901 | 2019-05-21 |
| 1235697749 | Kurstyn T Derr | Physician Assistant | 540 South Govenors Ave, Suite 100 Mailcode 3041, Dover, DE 19901 | 2019-03-05 |
| 1831610534 | Vaman Kanu Patel | Physical Therapist | 16 Coventry Ct, Dover, DE 19901 | 2017-07-03 |
| 1033656798 | American Medical LLC | Durable Medical Equipment & Medical Supplies | 9 E. Lockerman Street, #202, Dover, DE 19901 | 2017-01-19 |
| 1245575067 | Keena Segre | Pharmacist | 601 South State Street, Dover, DE 19901 | 2012-12-05 |
| 1376845818 | Michael Angelo Vernale IIi | Psychologist | 260 Chad Street, Dover Afb, Dover, DE 19901 | 2010-12-02 |
| 1396046215 | Richard Scott Shipley | Hearing Instrument Specialist | 1000 Dover Mall,miracle Ear/sears/, Route 13 North Dupont Hwy., Dover, DE 19901 | 2010-11-09 |
| 1780999599 | Suzanne Irene Ford | Speech-Language Pathologist | 1695 S. State Street Suite 5-a, Dover, DE 19901 | 2010-08-17 |
| 1780816231 | Karen A West | Nutritionist | 540 S State St, Dover, DE 19901 | 2009-08-18 |
| Find all providers in zip 19901 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841295508 | Paul R Cass | Psychiatry & Neurology | 10 Members Way Ste 300, Dover, NH 03820-5933 | 2005-06-17 |
| 1447359468 | M. Cecilia Pinto Lord | Psychiatry & Neurology | 10 Members Way Ste 300, Dover, NH 03820-5933 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275907743 | Comprehensive Neurology, P.a. | Psychiatry & Neurology | 537 Stanton Christiana Rd, Suite 106, Newark, DE 19713-2146 | 2015-11-21 |
| 1467683722 | Rawad Obeid | Psychiatry & Neurology | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2009-08-05 |
| 1366621906 | Sanjai C. Rao D.o., Inc. | Psychiatry & Neurology | 3521 Silverside Rd, Quillen Bldg, Suite 2i-2, Wilmington, DE 19810-4900 | 2007-10-31 |
| 1013106491 | Catherine F. Bodak-gyovai | Psychiatry & Neurology | 1600 Rockland Road, Wilmington, DE 19803-3607 | 2007-10-22 |
| 1639375009 | Comprehensive Neurology Center of Delaware | Psychiatry & Neurology | 537 Stanton Christiana Rd, Suite 106, Newark, DE 19713-2146 | 2007-06-22 |
| 1346323045 | Anand Gundakaram | Psychiatry & Neurology | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2006-10-24 |
| 1285726026 | Mena T. Scavina | Psychiatry & Neurology | A.i. Dupont Hospital for Children, 1600 Rockland Road, Wilmington, DE 19803-3607 | 2006-09-29 |
| 1790876050 | Charles Brill | Psychiatry & Neurology | A.i. Dupont Hospital for Children, 1600 Rockland Road, Wilmington, DE 19803-3607 | 2006-09-28 |
| 1932290228 | Stephen J. Falchek | Psychiatry & Neurology | A.i. Dupont Hospital for Children, 1600 Rockland Road, Wilmington, DE 19803-3607 | 2006-09-28 |
| 1386651099 | Carl Ramses Yacoub | Psychiatry & Neurology | 537 Stanton Christiana Rd, Suite 106, Newark, DE 19713-2146 | 2006-08-02 |
| Find all providers with the same taxonomy | ||||
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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.