Sunitha Jacob
Nurse Practitioner, Primary Care in West Haverstraw, NY. Individual provider (NPI-1).
NPI number1003673948
StatusActive
Last updated in NPPESMar 5, 2024
Details
- NPI
- 1003673948
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Sunitha Jacob
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 5, 2024
- Certification date
- Jan 30, 2024
- Last updated
- Mar 5, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | F353417 | NY | Yes |
Practice location
51-55 N Route 9wWest Haverstraw, NY 10993-1195
Phone 845-786-4000
Mailing address
139 Blauvelt RdNanuet, NY 10954-3601
Phone 914-426-0159
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