Active NPI
John Eric Jacoby MD PC
Doing business as Metro Med
- General Practice Physician
- New Rochelle, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 109045
- Legal business name
- JOHN ERIC JACOBY MD PC
- Doing business as
- Metro Med
- Practice address
- 466 Main St
New Rochelle, NY 10801-6431 - Phone
- (914) 633-1020
- Fax
- (914) 633-3235
- NPI assigned
- Sep 23, 2008
- Last updated
- Sep 23, 2008
- 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. John E Jacoby, M.D.
- Title
- President/Owner
- Phone
- (914) 633-1020
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 109045 | NY | Primary |
Addresses
Primary practice location
466 Main St
New Rochelle, NY 10801-6431
Mailing address
466 Main St
New Rochelle, NY 10801-6431
Phone (914) 633-1020
Other names 1
- Metro Med
National Provider Directory
National Provider Directory- Tax ID family
- John Eric Jacoby MD PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Physician
- New Rochelle, NY
- NPI 1790853778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222128000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222128000000",
"number": "1134379571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "466 MAIN ST",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108016431",
"telephone_number": "914-633-1020",
"fax_number": "914-633-3235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "466 MAIN ST",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108016431",
"telephone_number": "914-633-1020",
"fax_number": "914-633-3235"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN ERIC JACOBY MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-23",
"last_updated": "2008-09-23",
"status": "A",
"authorized_official_last_name": "JACOBY",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "914-633-1020",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "NY",
"license": "109045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Metro Med",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in New Rochelle, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.