Jolanta Katherine Jakubowska, APN
Nurse Practitioner, Adult Health in New York, NY. Individual provider (NPI-1).
NPI number1164078721
StatusActive
Last updated in NPPESSep 30, 2020
Details
- NPI
- 1164078721
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jolanta Katherine Jakubowska
- Credential
- APN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 9, 2019
- Certification date
- Sep 30, 2020
- Last updated
- Sep 30, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- 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 |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | 652438 | NY | Yes |
| 363LA2200X | Nurse Practitioner, Adult Health | 26NJ00916500 | NJ | |
| 363LG0600X | Nurse Practitioner, Gerontology | 26NJ00916500 | NJ |
Practice location
1470 Madison AveNew York, NY 10029-6542
Phone 646-983-8860
Mailing address
1470 Madison AveNew York, NY 10029-6542
Phone 646-983-8860
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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