Provider Demographics
NPI:1598995094
Name:JACOBI MEDICAL CENTER
Entity Type:Organization
Organization Name:JACOBI MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN, CHIEF RESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ZANA
Authorized Official - Middle Name:
Authorized Official - Last Name:NIKOLLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-918-5656
Mailing Address - Street 1:735 PELHAM PKWY N APT 3R
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-9513
Mailing Address - Country:US
Mailing Address - Phone:718-881-5922
Mailing Address - Fax:718-881-5922
Practice Address - Street 1:1400 PELHAM PKWY S
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-1138
Practice Address - Country:US
Practice Address - Phone:718-918-5640
Practice Address - Fax:718-918-7460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-17
Last Update Date:2009-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY253887282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital