DR. JERYL-LYNNE JACOB D.C.
NPI 1477637478
Chiropractor in Staten Island, NY

Active since October 25, 2006Accepts Medicare Assignment
21 2ND ST, STATEN ISLAND, NY 10306(719) 987-0735(719) 979-4669 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jeryl-lynne Jacob D.c. NPPES

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

DR. JERYL-LYNNE JACOB D.C. (NPI 1477637478) is an individual chiropractor in Staten Island, New York, licensed in New York (X2964) and active in the NPI registry since October 2006. She is a graduate of National College Of Chiropractic (1981).

NPPES Registry Identity

NPI1477637478
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. JERYL-LYNNE JACOBCredential: D.C.
Location Address21 2ND STStaten Island, NY 10306-2203
Mailing Address21 2nd StStaten Island, NY 10306-2203 · (719) 987-0735 · Fax (719) 979-4669
Fax(719) 979-4669
Sole ProprietorYes
Medical School CMSNational College Of ChiropracticGraduated 1981
Enumeration DateOctober 25, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1477637478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in NY · X2964
Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

21 2ND ST, Staten Island, NY 10306

Other Names 1

Professional Name (2)Dr. Jerylyn Jacob D.c.

Other Identifiers 1

Medicare UPINX1849-1NY

Accepted Insurance

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

Dr. Jeryl-lynne Jacob D.c. 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 ID4082892658
PECOS Enrollment IDI20110629000868

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
1,181 services57 patients

Other Providers at the Same Location NPPES

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

Chiropractor
21 2ND ST
STATEN ISLAND, NY 10306

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 Jeryl-lynne Jacob's NPI number?

The NPI number for Jeryl-lynne Jacob is 1477637478. It was assigned to this individual provider in the NPPES registry on October 25, 2006. The provider is also known as Dr. Jerylyn Jacob D.C..

Where is Jeryl-lynne Jacob located?

Jeryl-lynne Jacob practices at 21 2nd St, Staten Island, NY 10306. The listed phone number is (719) 987-0735.

What is Jeryl-lynne Jacob's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Jeryl-lynne Jacob enrolled in Medicare?

Yes. Jeryl-lynne Jacob 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.

What insurance does Jeryl-lynne Jacob accept?

Health plans from Providence Health Plan list Jeryl-lynne Jacob as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeryl-lynne Jacob was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.