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MR. JAKE SEAN DANN-SOURY
NPI 1346798717
Social Worker - School in Bronx, NY

Active since September 14, 2016PECOS EnrolledAccepts Medicare Assignment
3600 JEROME AVE, BRONX, NY 10467(718) 881-3600 Get Directions Write a Review

NPPES record last updated: September 14, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Jake Sean Dann-soury NPPES

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

MR. JAKE SEAN DANN-SOURY (NPI 1346798717) is an individual school provider in Bronx, New York and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1346798717
Entity TypeIndividualMale
Primary Taxonomy1041S0200X
Provider Legal NameMR. JAKE SEAN DANN-SOURY
Location Address3600 JEROME AVEBronx, NY 10467-1052
Mailing Address3600 Jerome AveBronx, NY 10467-1052
Phone(718) 881-3600
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 14, 2016
✔ NPI 1346798717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · SchoolBehavioral Health & Social Service Providers
Taxonomy Code1041S0200X
3600 JEROME AVE, Bronx, NY 10467
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Jake Sean Dann-soury is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971984659
PECOS Enrollment IDI20220713002044
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.

ILENA QUINONES B.A.
Rehabilitation Counselor
3600 JEROME AVE
BRONX, NY 10467
Bronx County (718) 881-7600
MS. ANNETTE DE LA CRUZ
Community Health Worker
3600 JEROME AVE
BRONX, NY 10467
Bronx County (718) 881-7600
SHAMMARA AUSBY
Counselor
3600 JEROME AVE
BRONX, NY 10467
Bronx County (718) 881-7600
MRS. JACQUELINE REGINA WILLIAMS LCSW
Social Worker (Clinical)
3600 JEROME AVE
BRONX, NY 10467
Bronx County (718) 881-7600
JORGE SANTIAGO LMSW
Social Worker
3600 JEROME AVE
BRONX, NY 10467
Bronx County (718) 881-7600
MRS. RACHEL JUNGREIS
Social Worker
3600 JEROME AVE
BRONX, NY 10467
Bronx County (718) 881-7600
MR. MICHAEL WILLIAM CAVALLARO L.C.S.W.
Social Worker (Clinical)
3600 JEROME AVE
BRONX, NY 10467
Bronx County (718) 881-7600
MS. DONNA MARIE REID REHAB TECH.
Community Health Worker
3600 JEROME AVE
BRONX, NY 10467
Bronx County (718) 881-7600

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 Jake Dann-soury's NPI number?

The NPI number for Jake Dann-soury is 1346798717. It was assigned to this individual provider in the NPPES registry on September 14, 2016.

Where is Jake Dann-soury located?

Jake Dann-soury practices at 3600 Jerome Ave, Bronx, NY 10467. The listed phone number is (718) 881-3600.

What is Jake Dann-soury's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in School, with taxonomy code 1041S0200X.

Is Jake Dann-soury enrolled in Medicare?

Yes. Jake Dann-soury is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jake Dann-soury was last updated on September 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.