Provider Demographics
NPI:1629968193
Name:APPEL, JACOB
Entity type:Individual
Prefix:
First Name:JACOB
Middle Name:
Last Name:APPEL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 S 9TH ST APT 3D
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11211-8714
Mailing Address - Country:US
Mailing Address - Phone:845-540-3984
Mailing Address - Fax:
Practice Address - Street 1:134 S 9TH ST APT 3D
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11211-8714
Practice Address - Country:US
Practice Address - Phone:845-540-3984
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-07
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies