Active NPI
Samuel S Jacobson MD PA
- Pulmonary Disease Physician
- Boca Raton, FL
National Provider Identifier
1073785499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- ME32787
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.