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DR. SUNITHA BINU JACOB M.D.
NPI 1699961490
Internal Medicine in Far Rockaway, NY

Active since September 14, 2007PECOS Enrolled
1288 CENTRAL AVE, FAR ROCKAWAY, NY 11691(718) 945-7150(718) 868-0617 Get Directions Write a Review

NPPES record last updated: September 21, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Sunitha Binu Jacob M.d. NPPES

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

DR. SUNITHA BINU JACOB M.D. (NPI 1699961490) is an individual internal medicine provider in Far Rockaway, New York, licensed in New York (246009) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1699961490
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SUNITHA BINU JACOBCredential: M.D.
Location Address1288 CENTRAL AVEFar Rockaway, NY 11691-3909
Mailing Address6200 Beach Channel DrArverne, NY 11692-1409 · (718) 945-7150 · Fax (718) 945-2596
Phone(718) 945-7150
Fax(718) 868-0617
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateSeptember 14, 2007
Last NPPES UpdateSeptember 21, 2016
✔ NPI 1699961490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 246009
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1288 CENTRAL AVE, Far Rockaway, NY 11691
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Other Identifiers 1

Medicaid031988929NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sunitha Binu Jacob M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032373634
PECOS Enrollment IDI20160921001949
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Sunitha Jacob reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Joseph P. Addabbo Family Health Center, Inc.
2.5 mi
Federally Qualified Health Center (FQHC)
6200 BEACH CHANNEL DR
Arverne, NY 11692
  • Reassigned Medicare billing, New York enrollment
  • 33 clinicians in this Medicare group
NPI 1497700736 (718) 945-7150
Community Health Initiatives, Inc.
12 mi
Federally Qualified Health Center (FQHC)
1419 MERMAID AVE
Brooklyn, NY 11224
  • Reassigned Medicare billing, New York enrollment
  • 24 clinicians in this Medicare group
NPI 1033581608 (718) 210-3110

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11691 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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 7

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

FAR ROCKAWAY VA CLINIC
Clinic/Center (VA)
1288 CENTRAL AVE, 1288 CENTRAL AVE.
FAR ROCKAWAY, NY 11691
Queens County (718) 945-7150
MARIANO ARIEL RIZZO M.D.
Internal Medicine
1288 CENTRAL AVE
FAR ROCKAWAY, NY 11691
Queens County (718) 945-7150
DAWN PHARMACY INC.
Pharmacy (Community/Retail Pharmacy)
1288 CENTRAL AVE
FAR ROCKAWAY, NY 11691
Queens County (718) 327-1700
KATHLEEN SIAPNO PARK M.D.
Pediatrics
1288 CENTRAL AVE
FAR ROCKAWAY, NY 11691
Queens County (718) 945-7150
MISS MARIA ROMINA GAYETA OLIMBERIO PT
Physical Therapist
1288 CENTRAL AVE
FAR ROCKAWAY, NY 11691
Queens County (718) 868-8230
DR. JULITA G. LUMBAB M.D.
Internal Medicine
1288 CENTRAL AVE
FAR ROCKAWAY, NY 11691
Queens County (718) 868-8230
ILA D PATIL PT
Physical Therapist
1288 CENTRAL AVE
FAR ROCKAWAY, NY 11691
Queens County (718) 868-8230

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 Sunitha Jacob's NPI number?

The NPI number for Sunitha Jacob is 1699961490. It was assigned to this individual provider in the NPPES registry on September 14, 2007.

Where is Sunitha Jacob located?

Sunitha Jacob practices at 1288 Central Ave, Far Rockaway, NY 11691. The listed phone number is (718) 945-7150.

What is Sunitha Jacob's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sunitha Jacob enrolled in Medicare?

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

Which organizations bill Medicare for Sunitha Jacob's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sunitha Jacob reassigns Medicare benefits to 2 organizations: Joseph P. Addabbo Family Health Center, Inc. (Arverne, NY) and Community Health Initiatives, Inc. (Brooklyn, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sunitha Jacob's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sunitha Jacob was last updated on September 21, 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.