MEDICARE: DR. JODI L'AMOUR JACOBS D.C.

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	111NN1001X	Nutrition Chiropractor	011379	NY
2	111N00000X	Chiropractor	011379	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	:	1528288982
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JODI L'AMOUR JACOBS D.C.

Provider Business Mailing Address
First Line	:	10 GLADSTONE PL
Second Line	:
City	:	YONKERS
State	:	NY
Zip	:	10703-1149
Country	:	US
Telephone Number	:	914-623-8722
Fax Number	:

Provider Business Practice Location Address
First Line	:	3407 WHITE PLAINS RD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10467-5704
Country	:	US
Telephone Number	:	718-653-1658
Fax Number	:	718-325-2400

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

Provider Enumeration Date	:	04/26/2007
Last Update Date	:	12/17/2025

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