1. Home
  2. Directory
  3. New York
  4. Orangeburg
  5. Nurse Practitioner
  6. NPI Profile

JACOB THENGAMPALLIL
NPI 1447748843
Nurse Practitioner - Psychiatric/Mental Health in Orangeburg, NY

Active since May 01, 2018PECOS Enrolled
140 OLD ORANGEBURG RD, ORANGEBURG, NY 10962(845) 680-8694 Get Directions Write a Review

NPPES record last updated: November 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 3, 2020, May 1, 2018 (2 updates tracked since 2018).

About Jacob Thengampallil NPPES

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

JACOB THENGAMPALLIL (NPI 1447748843) is an individual psychiatric/mental health provider in Orangeburg, New York, licensed in New York (403172) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447748843
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJACOB THENGAMPALLIL
Location Address140 OLD ORANGEBURG RDOrangeburg, NY 10962-1157
Mailing Address140 Old Orangeburg RdOrangeburg, NY 10962-1157 · (845) 680-8694
Phone(845) 680-8694
Sole ProprietorNo
Enumeration DateMay 1, 2018
Last NPPES UpdateNovember 3, 20202 updates tracked since enumeration
NPPES CertifiedNovember 3, 2020
✔ NPI 1447748843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 403172
Also ListedRegistered Nurse · Psychiatric/Mental Health, AdultTaxonomy 163WP0809X · License 592600 (NY)
140 OLD ORANGEBURG RD, Orangeburg, NY 10962
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Thengampallil 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10962 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JOSEPH VALERE
Registered Nurse (Psychiatric/Mental Health, Adult)
140 OLD ORANGEBURG RD
ORANGEBURG, NY 10962
Rockland County (845) 680-8600
ASHA ELIZABETH VARGHESE
Registered Nurse
140 OLD ORANGEBURG RD
ORANGEBURG, NY 10962
Rockland County (845) 680-8600
ROCKLAND PC
Health Maintenance Organization
140 OLD ORANGEBURG RD
ORANGEBURG, NY 10962
Rockland County (845) 359-1000
MS. CHERYL ANN MCCANTS-DAUGHTREY LCSWR
Social Worker (Clinical)
140 OLD ORANGEBURG RD
ORANGEBURG, NY 10962
Rockland County (914) 948-1192
JOSEENAMOL CYRIAC
Registered Nurse (Psychiatric/Mental Health)
140 OLD ORANGEBURG RD
ORANGEBURG, NY 10962
Rockland County (845) 680-8600
LIGI ANIL
Registered Nurse (Psychiatric/Mental Health, Adult)
140 OLD ORANGEBURG RD
ORANGEBURG, NY 10962
Rockland County (845) 680-7788
APRIL SHEA
Registered Nurse (Psychiatric/Mental Health, Adult)
140 OLD ORANGEBURG RD
ORANGEBURG, NY 10962
Rockland County (845) 454-3080
MIN HEE YOON
Registered Nurse (Psychiatric/Mental Health, Adult)
140 OLD ORANGEBURG RD
ORANGEBURG, NY 10962
Rockland County (845) 680-8600

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 Thengampallil's NPI number?

The NPI number for Jacob Thengampallil is 1447748843. It was assigned to this individual provider in the NPPES registry on May 1, 2018.

Where is Jacob Thengampallil located?

Jacob Thengampallil practices at 140 Old Orangeburg Rd, Orangeburg, NY 10962. The listed phone number is (845) 680-8694.

What is Jacob Thengampallil's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jacob Thengampallil enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jacob Thengampallil was last updated on November 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.