JACK Z NUSSBAUM md, NPI 1346242690
Family Medicine in LAKE RONKONKOMA, NY
Last Updated on : Jul 08,2007
About JACK Z NUSSBAUM (NPI 1346242690)
JACK Z NUSSBAUM is a Family Medicine provider in LAKE RONKONKOMA, United States. His medical specialization is Family Medicine .
1346242690 is NPI number of JACK Z NUSSBAUM.
JACK Z NUSSBAUM's primary taxonomy code based on NPI Lookup is 207Q00000X with license number 165161. This taxonomy code refers to Family Medicine.
JACK Z NUSSBAUM has more than 17 years of experience.
JACK Z NUSSBAUM current practice location address is 388 HAWKINS AVE, LAKE RONKONKOMA, NY. JACK Z NUSSBAUM can be reached out via phone at 631-588-8460 and via fax at 631-588-8480 .
You can also correspond with JACK Z NUSSBAUM through mail at mailing address 388 HAWKINS AVE, LAKE RONKONKOMA, NY, United States. Mailing address contact number is 631-588-8460.
The enumeration date of JACK Z NUSSBAUM is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 16 years ago.1346242690 NPI Information
Basic NPI information of JACK Z NUSSBAUM (NPI 1346242690) is provided below.
| Name | JACK Z NUSSBAUM |
|---|---|
| National Provider Id (NPI) | 1346242690 |
| Entity Type | Individual |
| Gender | M |
| Credential | md |
| Practice Address | 388 HAWKINS AVE,
STE 1
LAKE RONKONKOMA, NY, United States |
| Practice Telephone | 631-588-8460 |
| Practice Fax Number | 631-588-8480 |
| Mailing Address | 388 HAWKINS AVE ,
STE 1
LAKE RONKONKOMA, NY, United States |
| Mailing Telephone | 631-588-8460 |
| Mailing Fax Number | 631-588-8480 |
| Enumeration Date | 01-Jun-2005 |
| Last Updated Date | 08-Jul-2007 |
JACK Z NUSSBAUM (NPI 1346242690) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 165161 | NY |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type/Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 01824322 | MEDICAID (05) | NY |
JACK Z NUSSBAUM (NPI 1346242690) Office Location
Office location of JACK Z NUSSBAUM is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1306160304 | MARY ABBOTT | Registered Nurse, Community Health | 35 ARLINGTON RD,
LAKE RONKONKOMA, NY, United States |
18-Mar-2010 |
| 1831219591 | FRANK THOMAS ADAM | Optometrist | 500 PORTION RD,
SUITE 10 LAKE RONKONKOMA, NY, United States |
29-Mar-2007 |
| 1912109604 | SALMA AFROZE | Obstetrics & Gynecology | 55 WATER ST FL 2,
NEW YORK, NY, United States |
04-Jun-2007 |
| 1992231435 | CARISSA LYNN AGNELLO | Specialist | 16 LARCH ST,
LAKE RONKONKOMA, NY, United States |
03-May-2017 |
| 1679774921 | DAWN MARIE AGNESE DIAZ | Physical Therapist, Pediatrics | 137 FOSTER RD,
LAKE RONKONKOMA, NY, United States |
31-May-2007 |
| 1548359110 | PERVEZ A AHMED | Internal Medicine, Cardiovascular Disease | 1055 STEWART AVE,
BETHPAGE, NY, United States |
12-Oct-2006 |
| 1326295544 | MICHELLE MARIE ALCALDE | Registered Nurse | 17 BANK AVE,
SMITHTOWN, NY, United States |
19-Aug-2008 |
| 1255370540 | ANISA ALI-PEREZ | Physician Assistant | 1000 ZECKENDORF BLVD,
GARDEN CITY, NY, United States |
05-Jun-2006 |
| 1881044071 | PATRICIA AULETTA | Specialist | 125 MAPLECREST DR,
LAKE RONKONKOMA, NY, United States |
17-Jun-2016 |
| 1255693032 | JENNIFER L AYLING | Specialist | 4 BEECH ST S,
LAKE RONKONKOMA, NY, United States |
08-Jun-2012 |
| 1386236941 | KATIE BACIGALUPO | Specialist | 21 AVENUE D,
LAKE RONKONKOMA, NY, United States |
05-Feb-2021 |
| 1689627721 | VISWANATHAN BALACHANDAR | Pediatrics | 1055 STEWART AVE,
BETHPAGE, NY, United States |
18-May-2006 |
| 1952783045 | KIMBERLY BARNABY | Family Medicine | 601 PORTION RD STE 2,
LAKE RONKONKOMA, NY, United States |
24-Jun-2015 |
| 1609136340 | JULIANNE BARTLETT | Early Intervention Provider Agency | 22 NEWTON BLVD,
LAKE RONKONKOMA, NY, United States |
28-May-2012 |
| 1356476675 | BARBARA A BECKER | Social Worker | 123 BAYVIEW TERRACE,
PORT JEFFESON, NY, United States |
23-Feb-2007 |
| 1558797571 | LINDA JEAN BERGMAN | Speech-Language Pathologist, | 51 SCHOOL ST,
LAKE RONKONKOMA, NY, United States |
23-Sep-2013 |
| 1831613868 | THERESA BERGOLD | Counselor, Addiction (Substance Use Disorder) | 10 RAILROAD AVE APT 4,
BETHPAGE, NY, United States |
01-Aug-2017 |
| 1639177918 | RONALD R BERNARDINI | Chiropractor | 201 PORTION RD,
LAKE RONKONKOMA, NY, United States |
12-Jul-2005 |
| 1114261468 | PATRICIA ANN BEYER | Registered Nurse | 6 HILL ST,
LAKE RONKONKOMA, NY, United States |
26-Nov-2012 |
| 1326298860 | NICOLE BIONDI | Registered Nurse | 55 CHAMPLIN ST,
LAKE RONKONKOMA, NY, United States |
21-Sep-2008 |
How to check whether NPI 1063496693 is valid?
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
FAQs
Whose NPI Number is 1346242690?1346242690 is the NPI number of JACK Z NUSSBAUM.
What is the specialty for JACK Z NUSSBAUM?The Specialty of JACK Z NUSSBAUM is Family Medicine.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
|