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

Shinamol Jacob

Individual provider Family Nurse Practitioner · NPI 1316204134

Shinamol Jacob is a Nurse Practitioner in Manhasset, New York. Qualified in 2011, 15 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
15
Licensed in
NY
In the registry since
2012

Practice location Address checks out

300 Community Dr
Manhasset, NY 11030-3816
Phone: (516) 562-0100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 337156 (NY)

Record details

NPI number1316204134
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 18, 2012
Last updated in NPPESApril 18, 2012
Mailing address300 Community Dr, Manhasset, NY 11030-3816

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Manhasset