TEENA JACOB
NPI 1154008233
Nurse Practitioner - Family in Bronx, NY
About Teena Jacob NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TEENA JACOB (NPI 1154008233) is an individual family provider in Bronx, New York, licensed in New York (351182) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with Nyack Hospital, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Teena Jacob is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Nyack Hospital
Acute Care Hospitals · Nyack, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10461 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BRONX, NY 10461
BRONX, NY 10461
BRONX, NY 10461
BRONX, NY 10461
BRONX, NY 10461
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 Teena Jacob's NPI number?
The NPI number for Teena Jacob is 1154008233. It was assigned to this individual provider in the NPPES registry on June 30, 2023.
Where is Teena Jacob located?
Teena Jacob practices at 1400 Pelham Parkway South, Bronx, NY 10461. The listed phone number is (718) 918-5000.
What is Teena Jacob's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Teena Jacob enrolled in Medicare?
Yes. Teena Jacob is registered in the Medicare PECOS enrollment system.
Is Teena Jacob affiliated with any hospitals?
According to CMS data, Teena Jacob is affiliated with Nyack Hospital.
When was this NPI record last updated?
The NPPES record for Teena Jacob was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Teena Jacob · NPI 1154008233
Family physician in Bronx, New York. Individual provider, active in the CMS NPPES registry since June 30, 2023.
## Identity
- **NPI:** 1154008233 (Entity type: Individual)
- **Enumerated:** June 30, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 351182 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1400 PELHAM PARKWAY SOUTH, Bronx, NY 10461
- **Phone:** (718) 918-5000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** June 30, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1154008233) · Data from the CMS NPPES public registry.