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

Kevin Jacob, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1336873587

Kevin Jacob, FNP-BC is a Family Nurse Practitioner in New Hyde Park, New York. Licensed in New York. Registered with an NPI since 2022.

Licensed in
NY
In the registry since
2022
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

34 Paul Ave
New Hyde Park, NY 11040-3129
Phone: (718) 879-0836
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F350174-01 (NY)

Record details

NPI number1336873587
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedJuly 13, 2022
Last updated in NPPESSeptember 3, 2022
Certification dateSeptember 3, 2022

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