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MR. JACOB LACKOW M.A.
NPI 1295188159
Student in an Organized Health Care Education/Training Program in New York, NY

Active since July 15, 2016PECOS Enrolled
101 E 56TH ST, NEW YORK, NY 10022(646) 625-4300 Get Directions Write a Review

NPPES record last updated: May 22, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 22, 2019, Jul 15, 2016 (2 updates tracked since 2016).

About Mr. Jacob Lackow M.a. NPPES

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

MR. JACOB LACKOW M.A. (NPI 1295188159) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Santa Monica.

NPPES Registry Identity

NPI1295188159
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. JACOB LACKOWCredential: M.A.
Location Address101 E 56TH STNew York, NY 10022-2661
Mailing Address101 E 56th StNew York, NY 10022-2661 · (646) 625-4300
Phone(646) 625-4300
Sole ProprietorYes
Enumeration DateJuly 15, 2016
Last NPPES UpdateMay 22, 20192 updates tracked since enumeration
✔ NPI 1295188159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
101 E 56TH ST, New York, NY 10022
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Secondary Practice Location 1

Location 11339 20th StSanta Monica, CA 90404-2033 · Phone (310) 829-5511

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jacob Lackow M.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

MS. JANE YAN TING WONG PSYD
Psychologist (Clinical)
101 E 56TH ST
NEW YORK, NY 10022
New York County (646) 791-2569
DR. PAUL ANTHONY MITRANI M.D,/PH.D.
Psychiatry & Neurology (Psychiatry)
101 E 56TH ST
NEW YORK, NY 10022
New York County (646) 625-4314
DAVID FRIEDLANDER PSYD
Psychologist (Clinical)
101 E 56TH ST
NEW YORK, NY 10022
New York County (212) 257-8144
JOSEFINA TOSO SALMAN PHD
Psychologist
101 E 56TH ST
NEW YORK, NY 10022
New York County (212) 308-3118
KAYLA ROSE SAMUELS LMSW
Counselor (Mental Health)
101 E 56TH ST
NEW YORK, NY 10022
New York County (212) 308-3118
DR. SARA GUTTENTAG PSYD
Psychologist (Clinical Child & Adolescent)
101 E 56TH ST
NEW YORK, NY 10022
New York County (646) 625-4391
DAVID MARSHALL ANDERSON PH.D.
Psychologist
101 E 56TH ST
NEW YORK, NY 10022
New York County (646) 625-4315
RACHEL GANZ
Clinical Neuropsychologist
101 E 56TH ST
NEW YORK, NY 10022
New York County (908) 370-5856

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 Lackow's NPI number?

The NPI number for Jacob Lackow is 1295188159. It was assigned to this individual provider in the NPPES registry on July 15, 2016.

Where is Jacob Lackow located?

Jacob Lackow practices at 101 E 56th St, New York, NY 10022. The listed phone number is (646) 625-4300.

What is Jacob Lackow's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jacob Lackow enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jacob Lackow was last updated on May 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.