Active NPI 1073889416 Individual Practitioner Female Practitioner

Mavis Jacobs , RN

Registered Nurse - General Practice • Elmhurst, NY

Professional Overview & Biography Verified Profile Summary

Mavis Jacobs, RN is a registered healthcare professional specializing in Registered Nurse - General Practice in Elmhurst, NY. Practice services are available at 8055 CORNISH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8055 Cornish Ave

Elmhurst, NY 113733728

Telephone 7188996258

Associated Practice Facility / Clinic

🏢 Rcm/ Ps255@ps 7 Facility NPI 1326454281

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse - General Practice in Elmhurst, NY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 12.9 Yrs

Regional Practice Density

4 Specialists

Practicing in Elmhurst, NY (648 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

Registered Nurse - General Practice Primary Specialty

NUCC Taxonomy Code: 163WG0000X

State License NY 528003-1

Definition to come...

Practice Associates & Co-Workers

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

8 Associated Practitioners

Lauren Lewis

Speech-Language Pathologist

NPI 1063795094

Amanda Pellegrino , MA, CCC-SLP, TSSLD

Speech-Language Pathologist

NPI 1083014237

Master of Arts, Speech-Language Pathologist (Certificate of Clinical Competence), TSSLD

Sonia Dorsaint

Registered Nurse

NPI 1134536030

Kerry Weaver , MS

Speech-Language Pathologist

NPI 1154865426

Master of Science

Sara Leifer

Speech-Language Pathologist

NPI 1194268680

Hyunmee Cho

Speech-Language Pathologist

NPI 1639301971

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 29, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location March 29, 2012

Registered at 8055 CORNISH AVE, ELMHURST, NY 113733728 (Tel: 7188996258)

📍

Updated Business Mailing Address March 29, 2012

Registered at 18811 SUFFOLK DR, SAINT ALBANS, NY 114123008 (Tel: 6465233801)

👤

Provider Name / Credentials Updated March 29, 2012

Recorded as MAVIS JACOBS, R.N.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2012

Registered Nurse (License #528003-1 in NY)

🟢

Initial NPI Registration & Enumeration March 29, 2012

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: 1073889416

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 29, 2012

Last Update: March 29, 2012

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

18811 Suffolk Dr

Saint Albans, NY 114123008

Phone: 6465233801

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.