MEDICARE: RONALD JACQUES M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	155412	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518947811
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONALD JACQUES M.D

Provider Business Mailing Address
First Line	:	10 EDSON LN
Second Line	:
City	:	GLEN HEAD
State	:	NY
Zip	:	11545-2502
Country	:	US
Telephone Number	:	516-669-1329
Fax Number	:

Provider Business Practice Location Address
First Line	:	3009 GLENWOOD RD
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-2641
Country	:	US
Telephone Number	:	718-421-1003
Fax Number	:	718-434-0445

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2006
Last Update Date	:	02/14/2012

Similar Medicare Providers

1649203936 — DR. VERLAINE BRUNOT M.D
Practice Location Address:

3009 GLENWOOD RD
BROOKLYN, NY
11210-2641

Practice Phone: 718-421-1003
Practice Fax: 718-434-0445

1043408305 — ANTHONY GEORGES LCSWR
Practice Location Address:

3005 GLENWOOD RD
BROOKLYN, NY
11210-2641

Practice Phone: 718-434-7900
Practice Fax: 718-434-6715

1023387941 — RONALD JACQUES MD PC
Practice Location Address:

3009 GLENWOOD RD
BROOKLYN, NY
11210-2641

Practice Phone: 718-421-1003
Practice Fax:

1518228725 — MR. KENTON PHILLIP KIRBY LMSW
Practice Location Address:

2327 62ND ST , 2ND FLOOR
BROOKLYN, NY
11204-2641

Practice Phone: 917-518-6979
Practice Fax:

1306252010 — MS. PATRICIA SULLIVAN RN
Practice Location Address:

2999 AVENUE R
BROOKLYN, NY
11229-2641

Practice Phone: 646-234-3840
Practice Fax:

1891168977 — LEONID YAKOBOV
Practice Location Address:

2641 E 24TH ST UNIT 1B
BROOKLYN, NY
11235-2609

Practice Phone: 718-290-5818
Practice Fax:

Directions to “ RONALD JACQUES M.D” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.