Individual ProviderMelvin Thomas JacobRegistered NurseNursing Service ProvidersPractice Address7925 Winchester Blvd, Queens Village, NY 11427-2128(718) 464-7500(631) 220-5875PECOS EnrollmentBased on the most recent information from CMS, provider Melvin Thomas Jacob does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1720943947Provider TypeIndividualFull NameJacob, Melvin ThomasGenderMaleSole ProprietorYesEnumeration Date12/19/2025Last Updated12/19/2025Contact InformationPractice LocationPractice Address7925 Winchester Blvd, Queens Village, NY 11427-2128Phone(718) 464-7500FaxUnlisted FaxMailing LocationMailing Address8537 262nd St, Floral Park, NY 11001-1127Phone(631) 220-5875FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense900551New York