Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jeryl-Lynne Jacob, DC

Individual provider Chiropractor · NPI 1477637478

Dr. Jeryl-Lynne Jacob, DC is a Chiropractic in Staten Island, New York. Graduated from National College of Chiropractic in 1981, 45 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
45
Trained at
National College of Chiropractic
Licensed in
NY
In the registry since
2006
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

21 2nd St
Staten Island, NY 10306-2203
Phone: (719) 987-0735
Fax: (719) 979-4669
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence X2964 (NY)

Record details

NPI number1477637478
Entity typeIndividual (Type 1)
GenderFemale
Credentials DC
Sole proprietorYes
NPI enumeratedOctober 25, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyCHIROPRACTIC
Medical schoolNATIONAL COLLEGE OF CHIROPRACTIC
Graduated 1981 (45 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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