MR. JACOB MEDINA LPN
NPI 1245585470
Licensed Practical Nurse in Buffalo, NY

Active since July 13, 2012
85 GELSTON ST, BUFFALO, NY 14213(716) 533-7175 Get Directions Write a Review

NPPES record last updated: July 13, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Jacob Medina Lpn NPPES

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

MR. JACOB MEDINA LPN (NPI 1245585470) is an individual licensed practical nurse in Buffalo, New York, licensed in New York (244459) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1245585470
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameMR. JACOB MEDINACredential: LPN
Location Address85 GELSTON STBuffalo, NY 14213-1524
Mailing Address85 Gelston StBuffalo, NY 14213-1524 · (716) 533-7175
Sole ProprietorYes
Enumeration DateJuly 13, 2012
NPI 1245585470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in NY · 244459
Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

85 GELSTON ST, Buffalo, NY 14213

Other Identifiers 1

Other244459NY · Nursing License

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 Medina's NPI number?

The NPI number for Jacob Medina is 1245585470. It was assigned to this individual provider in the NPPES registry on July 13, 2012.

Where is Jacob Medina located?

Jacob Medina practices at 85 Gelston St, Buffalo, NY 14213. The listed phone number is (716) 533-7175.

What is Jacob Medina's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Jacob Medina was last updated on July 13, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.