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KEVIN JACOB FNP-BC
NPI 1336873587
Nurse Practitioner - Family in New Hyde Park, NY

Active since July 13, 2022
34 PAUL AVE, NEW HYDE PARK, NY 11040(718) 879-0836 Get Directions Write a Review

NPPES record last updated: September 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 3, 2022, Jul 13, 2022 (2 updates tracked since 2022).

About Kevin Jacob Fnp-bc NPPES

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

KEVIN JACOB FNP-BC (NPI 1336873587) is an individual family provider in New Hyde Park, New York, licensed in New York (F350174-01) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1336873587
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameKEVIN JACOBCredential: FNP-BC
Location Address34 PAUL AVENew Hyde Park, NY 11040-3129
Mailing Address34 Paul AveNew Hyde Park, NY 11040-3129 · (718) 879-0836
Phone(718) 879-0836
Sole ProprietorNo
Enumeration DateJuly 13, 2022
Last NPPES UpdateSeptember 3, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2022
✔ NPI 1336873587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F350174-01
34 PAUL AVE, New Hyde Park, NY 11040
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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 Kevin Jacob's NPI number?

The NPI number for Kevin Jacob is 1336873587. It was assigned to this individual provider in the NPPES registry on July 13, 2022.

Where is Kevin Jacob located?

Kevin Jacob practices at 34 Paul Ave, New Hyde Park, NY 11040. The listed phone number is (718) 879-0836.

What is Kevin Jacob's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kevin Jacob was last updated on September 3, 2022. 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.