Tikva Jacobs MD PC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

214917 Issued in NY

Legal business name

TIKVA JACOBS MD PC

Practice address

1125 5TH Ave
New York, NY 10128-0143

Phone

(212) 288-9800

Fax

(212) 860-7446

NPI assigned

Apr 12, 2010

Organization subpart

No

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

Authorized official

Name

Tikva Jacobs, MD

Title

MD

Phone

(212) 288-9800

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271030400000",
    "number": "1154647451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101280143",
            "telephone_number": "212-288-9800",
            "fax_number": "212-860-7446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101280143",
            "telephone_number": "212-288-9800",
            "fax_number": "212-860-7446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIKVA JACOBS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-12",
        "last_updated": "2010-04-12",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "TIKVA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "212-288-9800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "214917",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "214917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalia Matilde Tijaro Ovalle
• Elizaveta Vileninovna Tikhonova, MD
• Aret Tikiryan, OTR/L
• Sirisha R Tikko, MD
• Suraj K Tikko, MD
• Gabriela Tilevitz, LCSW
• Amanda Till, PT, DPT, OCS
• Haley Tillage
• Courtney Tillem, MS, CCC-SLP
• Ann Tilley, MD

• Vascular Surgery Physician in New York, NY
• Providers in New York, NY by specialty
• Vascular Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.