Jacob Joji Jacob, - Medicare Occupational Therapist in Stormville, NY

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Jacob Joji Jacob, is a medicare enrolled "Occupational Therapist" provider in Stormville, New York. His current practice location is 210 White Pond Rd, Stormville, New York. You can reach out to his office (for appointments etc.) via phone at (646) 591-5508.

Jacob Joji Jacob is licensed to practice in New York (license number 017449) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1215281795.

Contact Information

Jacob Joji Jacob,
210 White Pond Rd,
Stormville, NY 12582-5745
(646) 591-5508
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJacob Joji Jacob
GenderMale
SpecialityOccupational Therapist
Location210 White Pond Rd, Stormville, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215281795
  • Provider Enumeration Date: 11/05/2012
  • Last Update Date: 05/27/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8921495201
  • Enrollment ID: I20220505001286

Medical Identifiers

Medical identifiers for Jacob Joji Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215281795NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 017449 (New York)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jacob Joji Jacob allows following entities to bill medicare on his behalf.
Provider NameAffinity Rehabilitation Llp
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1346530169
PECOS PAC ID: 4789843376
Enrollment ID: O20120319000314

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacob Joji Jacob is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacob Joji Jacob,
210 White Pond Rd,
Stormville, NY 12582-5745

Ph: () -		Jacob Joji Jacob,
210 White Pond Rd,
Stormville, NY 12582-5745

Ph: (646) 591-5508

Reviews and Comments


Occupational Therapist in Stormville, NY

Dannielle Kealy,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 183 Devon Farms Rd, Stormville, NY 12582
Phone: 203-843-3339    
Mrs. Jennifer Tuttle, OTR
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 63 Nathan Hale Dr, Stormville, NY 12582
Phone: 914-523-1986    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.