Jonathan Jakus, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

127804 Issued in NY

Practice address

258 High Ave
Nyack, NY 10960-2407

Phone

(845) 353-1441

Fax

(845) 353-1987

NPI assigned

Oct 18, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 15

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Montefiore Nyack Hospital

  • Neurology Physician
  • Nyack, NY
  • NPI 1073881835
  Medicare reassignment NPD
• White Plains Medical Diagnostic Services, PC

  • Internal Medicine Physician
  • Nyack, NY
  • NPI 1689955338

  Obstetrics & Gynecology

  Medicare reassignment NPD
• Montefiore Nyack Hospital

  • General Acute Care Hospital
  • Nyack, NY
  • NPI 1104808062
  NPD
• Park Medical Group PA

  • Specialist
  • Harrington Park, NJ
  • NPI 1386685162
  NPD (past)
• The Park Medical Group, PA

  • Specialist
  • Northvale, NJ
  • NPI 1184795700
  NPD (past)

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1033108451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 HIGH AVE",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109602407",
            "telephone_number": "845-353-1441",
            "fax_number": "845-353-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 HIGH AVE",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109602407",
            "telephone_number": "845-353-1441",
            "fax_number": "845-353-1987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAKUS",
        "first_name": "JONATHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "127804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO #",
            "identifier": "0542164",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AFFINITY #",
            "identifier": "1000017625",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE #",
            "identifier": "127804",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD #",
            "identifier": "RP102",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE #",
            "identifier": "103945",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP #",
            "identifier": "696487",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PPO #",
            "identifier": "0008550",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI HMO #",
            "identifier": "00000003945",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00278120",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET #",
            "identifier": "0D4695",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP #",
            "identifier": "127804",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS #",
            "identifier": "337001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATLANTIS HEALTH PLAN #",
            "identifier": "KN6788",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO #",
            "identifier": "4061574",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TACONIC IPA #",
            "identifier": "696487",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tziporah B. Israel, P.A.
• Jeremy Jacobowitz, MD
• Jordan Jacobs, RN
• Diana J Jacobson, LCSW
• Robyn Jacobson, PSY.D.
• Donald Dale James, LCSW, CASAC
• Stephan Jean-Pierre
• Rosemary Jennings, PH.D.
• JM Fitness and Wellness, LLC
• Jonathan J Jakus & Nicholas Klein PTR

• Obstetrics & Gynecology Physician in Nyack, NY
• Providers in Nyack, NY by specialty
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.