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

James Jacob

Individual provider Certified Registered Nurse Anesthetist · NPI 1164039855

James Jacob is a Certified Registered Nurse Anesthetist (CRNA) in Mineola, New York. Qualified in 2020, 6 years ago. Practices with New York Cardiovascular Anesthesiologists, PC, a 135-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2020
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Practice location Address checks out

259 1st St
Mineola, NY 11501-3957
Phone: (516) 663-0333
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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 632221 (NY)

Record details

NPI number1164039855
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 26, 2020
Last updated in NPPESSeptember 26, 2020
Certification dateSeptember 21, 2020
Mailing address10716 91st St, Ozone Park, NY 11417-1421

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice New York Cardiovascular Anesthesiologists, P.C. — 135 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Mineola