Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174062467 Individual Practitioner Female Practitioner

Jemi Jacob

Dentist - General Practice • Bronx, NY

Professional Overview & Biography Verified Profile Summary

Jemi Jacob is a registered healthcare professional specializing in Dentist - General Practice in Bronx, NY. Practice services are available at 111 E 210TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

111 E 210th St

Bronx, NY 104672401

Telephone 7189204321
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bronx, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.2 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
378 Specialists

Practicing in Bronx, NY (8411 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NY 059937-1

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Jiae Lee , MD

Psychiatry & Neurology - Neurology

NPI 1003262916

Doctor of Medicine (M.D.)

NPI 1003340456

Doctor of Medicine (M.D.)

Telisha Mclean

Nurse Practitioner - Family

NPI 1003359910
Shivaditya Choudhury

Anesthesiology

NPI 1003377490
Johanna Tan

Student in an Organized Health Care Education/Training Program

NPI 1003436999
NPI 1003437310

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2019

Dentist (License #059937-1 in NY)

NPI Profile Active February 20, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 20, 2017

Registered at 111 E 210TH ST, BRONX, NY 104672401 (Tel: 7189204321)

📍
Updated Business Mailing Address February 20, 2017

Registered at 111 E 210TH ST, BRONX, NY 104672401 (Tel: 7189204321)

👤
Provider Name / Credentials Updated February 20, 2017

Recorded as JEMI JACOB

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration February 20, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174062467
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 20, 2017
Last Update: August 21, 2019
Sole Proprietor: No

Mailing Address

111 E 210th St

Bronx, NY 104672401

Phone: 7189204321

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.