Doctor profile · Federal record
Dr. Jacob Itskovich, DMD
Student in an Organized Health Care Education/Training Program · Farmington, CT
- NPI 1194350140
- 6 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
263 Farmington Ave
Farmington, CT 060300001
(860) 679-2000 - Mailing address
-
6855 Leytonstone Blvd
West Bloomfield, MI 483221243
Credentials & registration
- NPI registered
- March 2020 — 6 yrs on file
- Profile last updated
- August 4, 2020
- Specialty taxonomy
- 390200000X — NUCC code
- State license (1)
- Connecticut #12877
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1194350140. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$63
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Zimvie INC. | 1 | $62.50 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
19
Patients
18
Total drug cost
$60
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 19 | 18 | $60 |
Frequently asked questions
What is Dr. Jacob Itskovich's medical specialty?
Dr. Jacob Itskovich practices Student in an Organized Health Care Education/Training Program in Farmington, CT.
Where does Dr. Jacob Itskovich practice?
Dr. Jacob Itskovich practices at 263 Farmington Ave, Farmington, CT 060300001. Office phone: 8606792000.
What is Dr. Jacob Itskovich's NPI?
Dr. Jacob Itskovich's National Provider Identifier (NPI) is 1194350140, issued by NPPES.