Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Beena Jacob

Individual provider Adult Health Nurse Practitioner · NPI 1699201970

Beena Jacob is a Nurse Practitioner in Mineola, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 2016, 10 years ago. Practices with New York University, a 5,884-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
10
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
NY
In the registry since
2017
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Practice location Address checks out

101 Mineola Blvd Fl 2
Mineola, NY 11501-4089
Phone: (516) 663-3511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 285 Middle Country Rd, Smithtown, NY 11787-2978 — (631) 509-0390

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence F307794-1 (NY)

Record details

NPI number1699201970
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 5, 2017
Last updated in NPPESMarch 19, 2021
Certification dateMarch 19, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Mineola