Ronald Irwin Jacobson, MD

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

License

157834 Issued in NY

Practice address

755 North Broadway
Medical Services Building Suite 540
Sleepy Hollow, NY 10591

Phone

(914) 358-0190

Fax

(914) 358-0199

NPI assigned

Oct 9, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: ronald.jacobson.p1@direct.cwpw.nextgenshare.com

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208476800000",
    "number": "1164519120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 NORTH BROADWAY",
            "address_2": "MEDICAL SERVICES BUILDING SUITE 540",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "10591",
            "telephone_number": "914-358-0190",
            "fax_number": "914-358-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 NORTH BROADWAY",
            "address_2": "MEDICAL SERVICES BUILDING SUITE 540",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "10591",
            "telephone_number": "914-358-0190",
            "fax_number": "914-358-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "RONALD",
        "middle_name": "IRWIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-09",
        "last_updated": "2008-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NY",
            "license": "157834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00854357",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin T Hui, MD
• Amy Huling
• Kiara Souza Infante
• Callyn Iwuala, MD
• Blessy A Jacob, PHARMD
• Denisse Janvier
• Kerry Johnson, MS
• Shubhangini Virendrakumar Joshi
• Jason Andre Kahn, MD
• Rupinder Kaur Kakar, MSC

• Neurology with Special Qualifications in Child Neurology Physician in Sleepy Hollow, NY
• Providers in Sleepy Hollow, NY by specialty
• Neurology with Special Qualifications in Child Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.

Verify at the official NPI Registry.