Mitchel Jacobs, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

180855 Issued in NY

Practice address

891 Northern Blvd
Suite 203
Great Neck, NY 11021-5334

Phone

(516) 773-6300

Fax

(516) 796-4700

NPI assigned

Dec 11, 2006

Last updated

Jan 24, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Pulmonary DiseaseAlso: Critical Care (Intensivists)

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nassau Pulmonary and Critical Care Medicine PCGroup PAC ID 1355448127, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Shore University Hospital Hospital, Manhasset, NY, CCN 330106
• Jefferson Einstein Montgomery Hospital Hospital, East Norriton, PA, CCN 390329

Merit-based Incentive Payment System (MIPS)

Final score

67.68 of 100Reported as individual

Quality

89.3

Improvement activities

0

Cost

78.06

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Nassau Pulmonary & Critical Care Medicine PC

  • Specialist
  • Great Neck, NY
  • NPI 1942415286
  Medicare reassignment Care Compare group NPD Authorized official

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

• North Shore University Hospital

  • General Acute Care Hospital
  • Manhasset, NY
  • NPI 1366459570
  Care Compare affiliation
• Einstein Medical Center Montgomery

  • General Acute Care Hospital
  • East Norriton, PA
  • NPI 1104192590
  Care Compare affiliation

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1144380205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "891 NORTHERN BLVD",
            "address_2": "STE 203",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215305",
            "telephone_number": "516-773-6300",
            "fax_number": "516-706-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 NORTHERN BLVD",
            "address_2": "SUITE 203",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215334",
            "telephone_number": "516-773-6300",
            "fax_number": "516-796-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "MITCHEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "180855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J. R. Udarbe MD P.C.
• Bibi Zubyda Jabar, PTA
• Jed Jabiguero
• Jack Fried, OD, PC
• Jacob Gohari, MD PLLC
• Daniel R Jacobsen, MS, FNP-BC
• Susan Jacobson
• Matthew David Jacofsky, PSY.D.
• Andrew Angelo Jacono, MD
• Roya Jafari-Hassad, MD

• Pulmonary Disease Physician in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Pulmonary Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.