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

Chaya Chloe Jacob

Individual provider Critical Care Medicine Registered Nurse · NPI 1730758939

Chaya Chloe Jacob is a Certified Registered Nurse Anesthetist (CRNA) in New York, New York. Qualified in 2023, 3 years ago. Practices with Northern Valley Anesthesiology PA, a 84-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
3
Licensed in
NJ, NY
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

560 W 168th St
New York, NY 10032-3917
Phone: (212) 305-4318
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 26NJ14943900 (NJ)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence 698800 (NY)

Record details

NPI number1730758939
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 22, 2021
Last updated in NPPESJune 18, 2024
Certification dateJune 18, 2024

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Northern Valley Anesthesiology Pa — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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