NPIMap

Organization Active NPI

Allan Jacobs MD PD

Doing business as Market Street Anesthesia Associates

  • Anesthesiology Physician
  • Potsdam, NY
National Provider Identifier
1023054442
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ALLAN JACOBS MD PD
Doing business as
Market Street Anesthesia Associates
Practice address
70 Market St
Suite #4
Potsdam, NY 13676-1896
Phone
(315) 265-1721
Fax
(315) 265-0157
NPI assigned
Jun 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Allan Jacobs, MD
Title
President
Phone
(315) 265-1721

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

70 Market St
Suite #4
Potsdam, NY 13676-1896

Mailing address

70 Market St
Suite #4
Potsdam, NY 13676-1896
Phone (315) 265-1721

Other identifiers 1

IdentifierTypeStateIssuer
02588425MedicaidNY

Other names 1

  • Market Street Anesthesia Associates Doing business as

National Provider Directory

National Provider Directory

Locations

70 Market St
Ste 4
Potsdam, NY 13676
Phone (315) 265-1721

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023054442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 MARKET ST",
            "address_2": "SUITE #4",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136761896",
            "telephone_number": "315-265-1721",
            "fax_number": "315-265-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MARKET ST",
            "address_2": "SUITE #4",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136761896",
            "telephone_number": "315-265-1721",
            "fax_number": "315-265-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLAN JACOBS MD PD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-265-1721",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02588425",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Market Street Anesthesia Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Potsdam, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.