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

Jacob Fasten

Individual provider Specialist · NPI 1336403252

Jacob Fasten is a Specialist in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012
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Practice location Address checks out

1312 38th St
Brooklyn, NY 11218-3612
Phone: (718) 686-3700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 1942232 (NY)

Record details

NPI number1336403252
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 25, 2012
Last updated in NPPESJune 25, 2012

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