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

Teena Jacob

Individual provider Family Nurse Practitioner · NPI 1154008233

Teena Jacob is a Nurse Practitioner in Bronx, New York. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2023
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Practice location Address checks out

1400 Pelham Pkwy S
Bronx, NY 10461
Phone: (718) 918-5000
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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 351182 (NY)

Record details

NPI number1154008233
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 30, 2023
Last updated in NPPESJune 30, 2023
Certification dateJune 30, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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