Individual provider Active NPI

Ben Z Jacobs, MD

  • Urology Physician
  • Brooklyn, NY
National Provider Identifier
1093740300
Registry record updated Feb 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
168804 Issued in NY
Practice address
1648 East 14TH Street
Suite #2
Brooklyn, NY 11229-1175
Phone
(718) 336-6886
Fax
(718) 336-3945
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 168804 NY Primary

Addresses

Primary practice location

1648 East 14TH Street
Suite #2
Brooklyn, NY 11229-1175

Mailing address

1648 East 14TH Street
Suite #2
Brooklyn, NY 11229-1175
Phone (718) 336-6886

Other identifiers 1

IdentifierTypeStateIssuer
01155146MedicaidNY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050322001043 NY Practitioner - Urology 5395791438 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
New York University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

161 Fort Washington Ave F
New York, NY 10032-3713
Phone (212) 305-6905

1648 E 14TH St
Brooklyn, NY 11229-1175

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
168804NYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ben Zion Jacobs M.D. P.C. Urology CurrentSince Jul 23, 2023 Accepting new patients

Locations

1648 E 14th St
Ste 2
Brooklyn, NY 11229
Phone (718) 336-6886

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455235200000",
    "number": "1093740300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1648 EAST 14TH STREET",
            "address_2": "SUITE #2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291175",
            "telephone_number": "718-336-6886",
            "fax_number": "718-336-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1648 EAST 14TH STREET",
            "address_2": "SUITE #2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291175",
            "telephone_number": "718-336-6886",
            "fax_number": "718-336-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "BEN",
        "middle_name": "Z",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2016-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "168804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01155146",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.