DR. JACOB FUENTES DC
NPI 1114845633
Chiropractor in New City, NY

Active since July 10, 2026
29 THIRD ST, NEW CITY, NY 10956(845) 708-8885(845) 708-8884 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jacob Fuentes Dc NPPES

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

DR. JACOB FUENTES DC (NPI 1114845633) is an individual chiropractor in New City, New York, licensed in New York (014086) and active in the NPI registry since July 2026. He is a graduate of Life Chiropractic College (2026).

NPPES Registry Identity

NPI1114845633
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JACOB FUENTESCredential: DC
Location Address29 THIRD STNew City, NY 10956-4929
Mailing Address29 Third StNew City, NY 10956-4929 · (845) 708-8885 · Fax (845) 708-8884
Fax(845) 708-8884
Sole ProprietorYes
Medical School CMSLife Chiropractic CollegeGraduated 2026
Enumeration DateJuly 10, 2026
NPPES CertifiedJuly 10, 2026
✔ NPI 1114845633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NY · 014086
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
29 THIRD ST, New City, NY 10956

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jacob Fuentes Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991260788
PECOS Enrollment IDI20260722002493

Medicare Billing Reassignment

Medicare enrollment records show Jacob Fuentes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chiropractor
29 THIRD ST
New City, NY 10956
  • Reassigned Medicare billing, New York enrollment
  • 4 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

Chiropractor
29 THIRD ST
NEW CITY, NY 10956

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 Jacob Fuentes's NPI number?

The NPI number for Jacob Fuentes is 1114845633. It was assigned to this individual provider in the NPPES registry on July 10, 2026.

Where is Jacob Fuentes located?

Jacob Fuentes practices at 29 Third St, New City, NY 10956. The listed phone number is (845) 708-8885.

What is Jacob Fuentes's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Jacob Fuentes enrolled in Medicare?

Yes. Jacob Fuentes is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacob Fuentes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Fuentes reassigns Medicare benefits to Decarlo Chiropractic,pc (New City, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacob Fuentes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacob Fuentes was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.