Organization Active NPI

Samuel S Jacobson MD PA

  • Pulmonary Disease Physician
  • Boca Raton, FL
National Provider Identifier
1073785499
Registry record updated Sep 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME32787 Issued in FL
Legal business name
SAMUEL S JACOBSON MD PA
Practice address
1601 Clint Moore Rd
Suite 175
Boca Raton, FL 33487-5713
Phone
(561) 939-5770
Fax
(561) 939-5775
NPI assigned
Mar 26, 2008
Last updated
Sep 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2010

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

Authorized official

Name
Dr. Samuel S Jacobson, M.D.
Title
Director
Phone
(561) 939-0200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X ME32787 FL Primary

Addresses

Primary practice location

1601 Clint Moore Rd
Suite 175
Boca Raton, FL 33487-5713

Mailing address

1601 Clint Moore Rd
Suite 175
Boca Raton, FL 33487-2768
Phone (561) 939-5770

National Provider Directory

National Provider Directory

Locations

1601 Clint Moore Rd
Ste 100
Boca Raton, FL 33487
Phone (561) 939-0200

1601 Clint Moore Rd
Ste 175
Boca Raton, FL 33487
Phone (561) 939-0200

NPI Registry JSON

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284940800000",
    "number": "1073785499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CLINT MOORE RD",
            "address_2": "SUITE 175",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334872768",
            "telephone_number": "561-939-5770",
            "fax_number": "561-939-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 CLINT MOORE RD",
            "address_2": "SUITE 175",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334875713",
            "telephone_number": "561-939-5770",
            "fax_number": "561-939-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL S JACOBSON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2010-09-20",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "561-939-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME32787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; 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.