Individual provider Active NPI

Stefanie Jacobs, MD

  • Diagnostic Radiology Physician
  • Englewood, NJ
National Provider Identifier
1144288507
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MA56845 Issued in NJ
Practice address
350 Engle St
Englewood Hosp & Med Ctr
Englewood, NJ 07631
Phone
(201) 894-3400
Fax
(201) 894-5244
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MA56845 NJ Primary

Addresses

Primary practice location

350 Engle St
Englewood Hosp & Med Ctr
Englewood, NJ 07631

Mailing address

350 Engle St
Englewood, NJ 07631
Phone (201) 894-3400

Other identifiers 1

IdentifierTypeStateIssuer
6814506MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050318000165 NJ Practitioner - Diagnostic RadiologyPractitioner - Thoracic Surgery 4688629074 Reassigns benefits to 3 organizations
I20080415000614 NY Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 4688629074 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Nuclear Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mskcc Radiology GroupGroup PAC ID 3971494683, 192 clinicians
Memorial Nuclear Medicine GroupGroup PAC ID 9638068067, 37 clinicians
MSK BergenGroup PAC ID 1456614114, 254 clinicians
MSK MonmouthGroup PAC ID 1153619291, 300 clinicians

Practice addresses (Care Compare)

1101 Hempstead Tpke
Uniondale, NY 11553-1112
Phone (516) 559-1000

1275 York Ave
New York, NY 10065-6007
Phone (212) 639-2000

136 Mountain View Blvd
Basking Ridge, NJ 07920-3444

136 Mountainview Blvd
Basking Ridge, NJ 07920-3444
Phone (908) 542-3000

160 E 53Rd St
New York, NY 10022-5243
Phone (212) 610-0496

225 Summit Ave
Montvale, NJ 07645-1523
Phone (908) 542-3336

300 E 66TH St
New York, NY 10065-6800
Phone (646) 888-5300

480 Red Hill Rd
Middletown, NJ 07748-3052
Phone (908) 542-3007

500 Westchester Ave
West Harrison, NY 10604-3200
Phone (914) 367-7105

650 Commack Rd
Commack, NY 11725-5404
Phone (631) 623-4300

Hospital & facility affiliations

  • Memorial Hospital for Cancer and Allied Diseases Hospital, New York, NY, CCN 330154

Merit-based Incentive Payment System (MIPS)

Final score
81.57 of 100Reported as group
Quality
72.31
Improvement activities
40
Cost
76.55

Merit-based Incentive Payment System (MIPS)

Final score
65.9 of 100Reported as group
Quality
81.6
Improvement activities
40
Cost
10

Merit-based Incentive Payment System (MIPS)

Final score
91.42 of 100Reported as group
Quality
84.03
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA56845NJMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MSK Monmouth Diagnostic Radiology CurrentSince Sep 1, 2016 Accepting new patients
Mskcc Radiology Group Diagnostic Radiology CurrentSince Sep 26, 2007 Accepting new patients
Memorial Nuclear Medicine Group CurrentSince Apr 8, 2017 Accepting new patients
Memorial Sloan Kettering Cancer Center at Basking Ridge New Jersey Diagnostic Radiology CurrentSince Oct 30, 2006 Accepting new patients
MSK Bergen Diagnostic Radiology CurrentSince Apr 1, 2018 Accepting new patients

Locations

136 Mountainview Blvd
Basking Ridge, NJ 07920
Phone (908) 542-3000

480 Red Hill Rd
Middletown, NJ 07748
Phone (908) 542-3007

225 Summit Ave
Montvale, NJ 07645
Phone (908) 542-3336

633 3rd Ave
Lbby 3
New York, NY 10017
Phone (848) 225-6000

160 E 53rd St
New York, NY 10022
Phone (212) 610-0112

1275 York Ave
New York, NY 10065
Phone (212) 639-3813

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: sjacobs36925@mskcc.direct-ci.com

Organizations & group practices 5

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

Hospital & facility affiliations 5

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1144288507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 ENGLE ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "07631",
            "telephone_number": "201-894-3400",
            "fax_number": "201-894-5244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 ENGLE ST",
            "address_2": "ENGLEWOOD HOSP & MED CTR",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "07631",
            "telephone_number": "201-894-3400",
            "fax_number": "201-894-5244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "STEFANIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "MA56845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6814506",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

Verify at the official NPI Registry.