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JUDD JACOB PT, CLS
NPI 1407152333
Pathology - Clinical Laboratory Director, Non-physician in Yonkers, NY

Active since February 10, 2011
340 S BROADWAY, YONKERS, NY 10705(914) 968-5125(914) 968-5123 Get Directions Write a Review

NPPES record last updated: April 13, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Judd Jacob Pt, Cls NPPES

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

JUDD JACOB PT, CLS (NPI 1407152333) is an individual clinical laboratory director, non-physician in Yonkers, New York, licensed in New York (014999) and active in the NPI registry since February 2011.

NPPES Registry Identity

NPI1407152333
Entity TypeIndividualMale
Primary Taxonomy247ZC0005X
Provider Legal NameJUDD JACOBCredential: PT, CLS
Location Address340 S BROADWAYYonkers, NY 10705-2049
Mailing Address174 Grand StWhite Plains, NY 10601-4803 · (914) 328-8077 · Fax (914) 328-6083
Phone(914) 968-5125
Fax(914) 968-5123
Sole ProprietorNo
Enumeration DateFebruary 10, 2011
Last NPPES UpdateApril 13, 2016
✔ NPI 1407152333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Clinical Laboratory Director, Non-physicianTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247ZC0005X
Licenses✔ Licensed in NY · 014999✔ Licensed · 226448
Definition
An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
Also ListedPhysical TherapistTaxonomy 225100000X · License 032031 (NY)
340 S BROADWAY, Yonkers, NY 10705
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Other Identifiers 4

Medicare PINA400133776NY
Medicare PINA400133792NY
Medicare PINA400133789NY
Medicare PINA400133798NY

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEEJO JOSEPH PT
Physical Therapist
340 S BROADWAY
YONKERS, NY 10705
Westchester County (914) 968-5125
S.V. MEDICAL, PC
Neurological Surgery
340 S BROADWAY
YONKERS, NY 10705
Westchester County (914) 968-5125
SUNNY KAPADIA PT
Physical Therapist
340 S BROADWAY
YONKERS, NY 10705
Westchester County (914) 986-5125
PATRICIA ROSE PELUSO-CLEARY OT
Occupational Therapist
340 S BROADWAY
YONKERS, NY 10705
Westchester County (914) 968-5125
JIJO M JOHN PT
Physical Therapist
340 S BROADWAY
YONKERS, NY 10705
Westchester County (914) 968-5125
AMRUTA TANDEL PT
Physical Therapist
340 S BROADWAY
YONKERS, NY 10705
Westchester County (914) 968-5125
NITIN CHADHA PT
Physical Therapist
340 S BROADWAY
YONKERS, NY 10705
Westchester County (914) 968-5125
HINA ASLAM TICKNOR
Physical Therapist
340 S BROADWAY
YONKERS, NY 10705
Westchester County (914) 968-5125

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 Judd Jacob's NPI number?

The NPI number for Judd Jacob is 1407152333. It was assigned to this individual provider in the NPPES registry on February 10, 2011.

Where is Judd Jacob located?

Judd Jacob practices at 340 S Broadway, Yonkers, NY 10705. The listed phone number is (914) 968-5125.

What is Judd Jacob's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Laboratory Director, Non-physician, with taxonomy code 247ZC0005X.

When was this NPI record last updated?

The NPPES record for Judd Jacob was last updated on April 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.