Suni Jacob
FAMILY AND INTERNAL MEDICINE OF DIXWELL AVENUE


Address: 2543 Dixwell Ave, Hamden, CT 06514-1860
Phone: 2032304160

Suni Jacob (NPI# 1194709402, PAC ID# 7113948241) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1194709402
PAC ID by PECOS 7113948241
Professional Enrollment ID I20051216000016
Full Name Suni Jacob
Organization Legal Name FAMILY AND INTERNAL MEDICINE OF DIXWELL AVENUE
Address 2543 Dixwell Ave
Hamden
CT 06514-1860
Phone Number 2032304160
Gender F
Credential NP
Graduation Year 2005
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 8527148550
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
070022 YALE-NEW HAVEN HOSPITAL

Other Locations

Address Phone Organization
2543 Dixwell Ave, Hamden, CT 06514-1860 2032304160 FAMILY AND INTERNAL MEDICINE OF DIXWELL AVENUE

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_EP_1 e-Prescribing 94%
ACI_EC_TRANS_HIE_1 Health Information Exchange 5%
ACI_EC_TRANS_MR_1 Medication Reconciliation 100%
ACI_EC_TRANS_PEA_1 Provide Patient Access 79%
ACI_EC_TRANS_PEA_2 View, Download, or Transmit (VDT) 21%
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
ACI_EC_TRANS_PSE_1 Patient-Specific Education 56%
ACI_EC_TRANS_SM_1 Secure Messaging 66%

Organization Information

Organization Legal Name FAMILY AND INTERNAL MEDICINE OF DIXWELL AVENUE
Physicians 2

Physicians with the same organization

Name Specialty Organization Address
Babu S Kumar Internal Medicine Family and Internal Medicine of Dixwell Avenue 2543 Dixwell Ave, Hamden, CT 06514-1860

Office Location

Street Address 2543 DIXWELL AVE
City HAMDEN
State CT
Zip 06514-1860

Physicians in the same location

Name Specialty Organization Address
Babu S Kumar Internal Medicine Family and Internal Medicine of Dixwell Avenue 2543 Dixwell Ave, Hamden, CT 06514-1860
Joanna Aleksiejuk Physical Therapy 2543 Dixwell Ave, Hamden, CT 06514-1860
Amit Mahajan Diagnostic Radiology New Haven Radiology Associates PC 2543 Dixwell Ave, Suite 100, Hamden, CT 06514-1860
Prathibha N Kumar Internal Medicine 2543 Dixwell Ave, Hamden, CT 06514-1860

Physicians in the same zip code

Name Specialty Organization Address
Vanna M Dest Nurse Practitioner 830 Sherman Ave, Hamden, CT 06514-1147
Agnes Marie Barba Clinical Social Worker 830 Sherman Ave, Hamden, CT 06514-1147
Marguerite M Williams Clinical Social Worker 130 Bear Path Rd, Hamden, CT 06514-1329
Deborah A Oberman Clinical Social Worker 182 Magee Dr, Hamden, CT 06514-1340
Carol Andrea Eggers Nurse Practitioner Yale University 2560 Dixwell Ave, Hamden, CT 06514-1851
Alla Bernshteyn Internal Medicine Prohealth Physicians PC 2560 Dixwell Ave, 2b, Hamden, CT 06514-1852
Cheryl A Cuozzo Nurse Practitioner Prohealth Physicians PC 2560 Dixwell Ave, 2b, Hamden, CT 06514-1852
Hafsa M Nawaz Internal Medicine Star Medical Care Pllc 2560 Dixwell Ave, Suite 1a, Hamden, CT 06514-1852
Emily J Tuozzo Nurse Practitioner Prohealth Physicians PC 2560 Dixwell Ave, 2b, Hamden, CT 06514-1852
Kathrine Ann Walker Nurse Practitioner Star Medical Care Pllc 2560 Dixwell Ave, Suite 1a, Hamden, CT 06514-1852
Find all physicians in zip 06514

Competitor

Search similar physicians

City HAMDEN
Zip Code 06514
Specialty NURSE PRACTITIONER
City + Specialty HAMDEN + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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