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DR. JOSEPHEENA JACOB M.D.
NPI 1043310147
Pediatrics in Floral Park, NY

Active since September 25, 2006CLIA 33D2237755 · Waiver
274 JERICHO TPKE, FLORAL PARK, NY 11001(516) 328-3700(516) 328-3767 Get Directions Write a Review

NPPES record last updated: February 27, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Josepheena Jacob M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOSEPHEENA JACOB M.D. (NPI 1043310147) is an individual pediatrics provider in Floral Park, New York, licensed in New York (193018) and active in the NPI registry since September 2006. She holds a CLIA Waiver certificate valid through September 27, 2027.

NPPES Registry Identity

NPI1043310147
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. JOSEPHEENA JACOBCredential: M.D.
Location Address274 JERICHO TPKEFloral Park, NY 11001-2154
Mailing Address48 Sycamore LnRoslyn Heights, NY 11577-2522
Phone(516) 328-3700
Fax(516) 328-3767
Sole ProprietorYes
Enumeration DateSeptember 25, 2006
Last NPPES UpdateFebruary 27, 2012
✔ NPI 1043310147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 193018
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
274 JERICHO TPKE, Floral Park, NY 11001
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2237755

Josepheena Jacob MD PC · Floral Park, NY
Active · expires Sep 27, 2027
CLIA Number33D2237755
Laboratory TypePhysician Office
Certificate Effective DateSeptember 28, 2025
Certificate Expiration DateSeptember 27, 2027
Laboratory DirectorDr. Josepheena J. Jacob
Laboratory Phone(516) 328-3700
Laboratory LocationJosepheena Jacob MD PC274 Jericho Turnpike, Floral Park, NY 11001
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSEPHEENA JACOB MD PC
Pediatrics
274 JERICHO TPKE
FLORAL PARK, NY 11001
Nassau County (516) 328-3700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Josepheena Jacob's NPI number?

The NPI number for Josepheena Jacob is 1043310147. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Josepheena Jacob located?

Josepheena Jacob practices at 274 Jericho Tpke, Floral Park, NY 11001. The listed phone number is (516) 328-3700.

What is Josepheena Jacob's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Josepheena Jacob hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2237755) is associated with this NPI, valid through September 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Josepheena Jacob was last updated on February 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.