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JACK Z NUSSBAUM md, NPI 1346242690

Family Medicine in LAKE RONKONKOMA, NY

Last Updated on : Jul 08,2007

JACK Z NUSSBAUM md, NPI 1346242690

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:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
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:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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