Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SHANE SAJI JACOB, PA
ActiveMR. SHANE SAJI JACOB, PA is a Physician Assistant healthcare provider located in ELMHURST, New York. NPI 1609484468 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · ELMHURST, NY
Registration Details
- NPI Number
- 1609484468
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 17, 2020 (6.1026212849151 yrs)
- Last Updated
- Feb 26, 2021
- License
-
025732 (NY)
Practice Information
- Address
-
7901 BROADWAYELMHURST, NY, 113731329Browse NY providers · Browse ZIP 11373
- Phone
- 7183342480
- Fax
- 7183342478
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in ELMHURST, NY
| Name | Credential | NPI |
|---|---|---|
| RALPH JEFFREY CAPRA | PA | 1184686727 |
| JOSEPH NARCISSE | PA | 1750336319 |
| GLENDA GUZMAN | P.A. | 1962439471 |
| RACHELLE R. OBUSAN-GONZALEZ | P.A. | 1356443782 |
| MR. YURIY AKILOV | PA | 1376643148 |
| MS. EWA BIERDZINSKA | PA | 1013008986 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.