Active NPI
Amber Rose Jacobson
- Surgery Physician
- Dover, DE
National Provider Identifier
1114501723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- C7-0018194
- Practice address
- 640 South State Street
3007
Dover, DE 19901 - Phone
- (302) 744-6999
- NPI assigned
- May 10, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | C7-0018194 | DE | Primary |
Addresses
Primary practice location
640 South State Street
3007
Dover, DE 19901
Mailing address
640 South State Street
Mailcode: 3007
Dover, DE 19901
Phone (302) 744-6999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230629004225 | DE | Order and Referring Only - General Surgery | 4981063559 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C7-0018194 | DE | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685664000000",
"number": "1114501723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 SOUTH STATE STREET",
"address_2": "MAILCODE: 3007",
"city": "DOVER",
"state": "DE",
"postal_code": "19901",
"telephone_number": "302-744-6999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 SOUTH STATE STREET",
"address_2": "3007",
"city": "DOVER",
"state": "DE",
"postal_code": "19901",
"telephone_number": "302-744-6999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBSON",
"first_name": "AMBER",
"middle_name": "ROSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-10",
"last_updated": "2023-06-02",
"certification_date": "2023-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "DE",
"license": "C7-0018194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.