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BEENA E JACOB FNP-BC
NPI 1780249870
Nurse Practitioner - Family in New York, NY

Active since May 05, 2019PECOS Enrolled
10 E 102ND ST, NEW YORK, NY 10029(212) 241-5656(212) 241-8866 Get Directions Write a Review

NPPES record last updated: November 22, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 22, 2019, May 5, 2019 (2 updates tracked since 2019).

About Beena E Jacob Fnp-bc NPPES

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

BEENA E JACOB FNP-BC (NPI 1780249870) is an individual family provider in New York, New York, licensed in New York (F344333) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1780249870
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBEENA E JACOBCredential: FNP-BC
Location Address10 E 102ND STNew York, NY 10029-6030
Mailing Address150 E 42nd St Fl 9New York, NY 10017-5699 · (646) 605-8186
Phone(212) 241-5656
Fax(212) 241-8866
Sole ProprietorNo
Enumeration DateMay 5, 2019
Last NPPES UpdateNovember 22, 20192 updates tracked since enumeration
✔ NPI 1780249870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F344333
10 E 102ND ST, New York, NY 10029
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11 Gustave L Levy Pl Fl 12New York, NY 10029-6574 · Phone (212) 241-5900
Location 210 Union Sq ENew York, NY 10003-3314 · Phone (212) 420-2377 · Fax (212) 420-4684

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beena E Jacob Fnp-bc 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.

Medicare Billing Reassignments

2

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

Icahn School Of Medicine At Mount Sinai
0.1 mi
Pulmonary Disease
1 GUSTAVE L LEVY PL
New York, NY 10029
  • Reassigned Medicare billing, New York enrollment
  • 345 clinicians in this Medicare group
NPI 1518228550 (212) 987-3100
Memorial Anesthesiology Group
1.9 mi
Anesthesiology
1275 YORK AVE
New York, NY 10021
  • Reassigned Medicare billing, New York enrollment
  • 482 clinicians in this Medicare group
NPI 1467423020 (646) 227-3813

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 10029 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

MS. CHARLEEN T. JACOBS-MCFARLANE NP
Nurse Practitioner (Adult Health)
10 E 102ND ST
NEW YORK, NY 10029
New York County (212) 241-6756
MRS. MOLLY SUE KIM NP-C
Nurse Practitioner (Family)
10 E 102ND ST
NEW YORK, NY 10029
New York County (212) 241-6756
JAMES L M FERRARA MD
Pediatrics (Pediatric Hematology-Oncology)
10 E 102ND ST
NEW YORK, NY 10029
New York County (212) 241-6756
ADAM S MORGENTHAU M.D.
Internal Medicine (Pulmonary Disease)
10 E 102ND ST
NEW YORK, NY 10029
New York County (212) 241-5656
MONICA KRAFT
Internal Medicine (Pulmonary Disease)
10 E 102ND ST
NEW YORK, NY 10029
New York County (212) 241-5656
JIMMY ZHANG MD, PHD
Internal Medicine (Pulmonary Disease)
10 E 102ND ST
NEW YORK, NY 10029
New York County (212) 241-5656
LEWIS R SILVERMAN MD
Internal Medicine (Medical Oncology)
10 E 102ND ST
NEW YORK, NY 10029
New York County (212) 241-6756
KATHRYN CICCOLINI AGACNP-BC
Nurse Practitioner (Acute Care)
10 E 102ND ST
NEW YORK, NY 10029
New York County (212) 241-6756

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 Beena Jacob's NPI number?

The NPI number for Beena Jacob is 1780249870. It was assigned to this individual provider in the NPPES registry on May 5, 2019.

Where is Beena Jacob located?

Beena Jacob practices at 10 E 102nd St, New York, NY 10029. The listed phone number is (212) 241-5656.

What is Beena Jacob's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Beena Jacob enrolled in Medicare?

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

Which organizations bill Medicare for Beena Jacob's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Beena Jacob reassigns Medicare benefits to 2 organizations: Icahn School Of Medicine At Mount Sinai (New York, NY) and Memorial Anesthesiology Group (New York, 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 Beena 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 Beena Jacob was last updated on November 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.