Jeffrey Jacobson, M.D., P.C.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

JEFFREY JACOBSON, M.D., P.C.

Practice address

19 Bradhurst Ave
Suite 2900 S
Hawthorne, NY 10532

Phone

(914) 421-0123

Fax

(888) 381-4542

NPI assigned

Aug 20, 2020

Organization subpart

No

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

Authorized official

Name

Jeffrey Jacobson, MDNPI 1588812820

Title

President

Phone

(914) 421-0123

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Mica Jacobson, MD

  • Plastic Surgery Physician
  • Hawthorne, NY
  • NPI 1588812820
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1174135115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 N GREELEY AVE # 84",
            "city": "CHAPPAQUA",
            "state": "NY",
            "postal_code": "10514",
            "telephone_number": "914-421-0123",
            "fax_number": "888-381-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 BRADHURST AVE",
            "address_2": "SUITE 2900 S",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "10532",
            "telephone_number": "914-421-0123",
            "fax_number": "888-381-4542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY JACOBSON, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-20",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-421-0123",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Jacobson, MD
• Jeffrey Mica Jacobson, MD
• Diwakar Jain, MD
• Nikita Janodia, PA-C
• Somasundaram Jayabose, MD
• Yeesoon Jeon
• Jewish Board of Family and Children Services
• Jewish Board of Family and Children'S Services
• John a. Savino, MD, PC
• Claudette Latoya Johnson

• Plastic Surgery Physician in Hawthorne, NY
• Providers in Hawthorne, NY by specialty
• Plastic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.