Jacobo Elgozy M.D.P.a

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS-10059 Issued in FL

Legal business name

JACOBO ELGOZY M.D.P.A

Practice address

7191 Taft St
Hollywood, FL 33024-3805

Phone

(646) 401-2389

Fax

(305) 357-1678

NPI assigned

Jun 30, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jacobo Elgozy, DONPI 1518165737

Title

President

Phone

(646) 401-2389

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacobo Elgozy, DO

  • Internal Medicine Physician
  • Hollywood, FL
  • NPI 1518165737
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687737600000",
    "number": "1073741963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 N UNIVERSITY DR # 840736",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243614",
            "telephone_number": "646-401-2389",
            "fax_number": "305-357-1678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7191 TAFT ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330243805",
            "telephone_number": "646-401-2389",
            "fax_number": "305-357-1678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOBO ELGOZY M.D.P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-30",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A",
        "authorized_official_last_name": "ELGOZY",
        "authorized_official_first_name": "JACOBO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-401-2389",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS-10059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara M Jackson
• Tiffany Chelan Jackson, MSN, RN
• Yinka Shuntina Jackson, APRN
• Binish Kinalath Jacob
• Riya Jacob
• Charles Jacobs, M.D.
• Jeremy Allen Jacobs, DO
• George Franklin Jacobson, DPM
• Martha Candace Jacobson, PH.D.
• Michele Jacobson, L.M.H.C.

• Internal Medicine Physician in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.