Active NPI
Zev Jacobson, M.D.
- Pediatric Cardiology Physician
- Elkins Park, PA
National Provider Identifier
1013939842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- MD066670L
- Practice address
- 205 Yorktown PLZ
8120 Old York Road
Elkins Park, PA 19027-1424 - Phone
- (610) 616-4138
- Fax
- (610) 471-0416
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD066670L | PA | |
| Pediatric Cardiology Physician | 2080P0202X | MD066670L | PA | Primary |
Addresses
Primary practice location
205 Yorktown PLZ
8120 Old York Road
Elkins Park, PA 19027-1424
Mailing address
205 Yorktown PLZ
8120 Old York Road
Elkins Park, PA 19027-1424
Phone (610) 616-4138
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001892207 | Medicaid | PA | |
| 8839905 | Medicaid | NJ |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD066670L | PA | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Core Pediatric Cardiology, PC | Pediatric Cardiology | 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.
-
- Pediatric Cardiology Physician
- Elkins Park, PA
- NPI 1861512055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599609600000",
"number": "1013939842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 YORKTOWN PLZ",
"address_2": "8120 OLD YORK ROAD",
"city": "ELKINS PARK",
"state": "PA",
"postal_code": "190271424",
"telephone_number": "610-616-4138",
"fax_number": "610-471-0416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 YORKTOWN PLZ",
"address_2": "8120 OLD YORK ROAD",
"city": "ELKINS PARK",
"state": "PA",
"postal_code": "190271424",
"telephone_number": "610-616-4138",
"fax_number": "610-471-0416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBSON",
"first_name": "ZEV",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2020-09-09",
"certification_date": "2020-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD066670L",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "PA",
"license": "MD066670L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001892207",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8839905",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elkins Park, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.