Active NPI
Alan L Jacobson, M.D.
- Otolaryngology/Facial Plastic Surgery Physician
- Jupiter, FL
National Provider Identifier
1003907114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- ME0040342
- Practice address
- 600 Heritage Dr
Suite 220
Jupiter, FL 33458-3000 - Phone
- (561) 624-0900
- Fax
- (561) 627-3006
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | ME0040342 | FL | Primary |
Addresses
Primary practice location
600 Heritage Dr
Suite 220
Jupiter, FL 33458-3000
Mailing address
600 Heritage Dr
Suite 220
Jupiter, FL 33458-3000
Phone (561) 624-0900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0040342 | FL | MD | Otolaryngology/Facial Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Florida Ear, Nose & Throat Center,P.a. | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1003907114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 HERITAGE DR",
"address_2": "SUITE 220",
"city": "JUPITER",
"state": "FL",
"postal_code": "334583000",
"telephone_number": "561-624-0900",
"fax_number": "561-627-3006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 HERITAGE DR",
"address_2": "SUITE 220",
"city": "JUPITER",
"state": "FL",
"postal_code": "334583000",
"telephone_number": "561-624-0900",
"fax_number": "561-627-3006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBSON",
"first_name": "ALAN",
"middle_name": "L",
"name_prefix": "Miss",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0905X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "FL",
"license": "ME0040342",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.