Active NPI
James H. Jacoby, M.D.
- Diagnostic Radiology Physician
- Bryn Mawr, PA
National Provider Identifier
1174522072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD011319E
- Practice address
- 865 W Lancaster Ave
Bryn Mawr, PA 19010-3336 - Phone
- (610) 527-8600
- Fax
- (610) 527-1234
- NPI assigned
- Jul 21, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 25MA02501800 | NJ | |
| Diagnostic Radiology Physician | 2085R0202X | MD011319E | PA | Primary |
Addresses
Primary practice location
865 W Lancaster Ave
Bryn Mawr, PA 19010-3336
Mailing address
101 Greenwood Ave
Suite 150
Jenkintown, PA 19046-2627
Phone (215) 379-8458
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2306107 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA02501800 | NJ | MD | Diagnostic Radiology Physician |
| MD011319E | PA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heights Imaging Associates, PA | Diagnostic Radiology | Past | Accepting new patients |
| Delaware Open MRI Radiology Associates LLC | Diagnostic Radiology | Past | Accepting new patients |
| Imaging Associates, PA | Past | Accepting new patients | |
| Insight Health Corp | Past | Accepting new patients | |
| Lebanon Diagnostic Imaging, LLC | Diagnostic Radiology | Past | Accepting new patients |
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.
-
- Neuroradiology Physician
- Haddon Heights, NJ
- NPI 1356392146
Diagnostic Radiology
-
- Physiological Laboratory
- Wilkes Barre, PA
- NPI 1174647267
-
- Diagnostic Radiology Physician
- Chambersburg, PA
- NPI 1346246436
-
- Diagnostic Radiology Physician
- Newark, DE
- NPI 1679579775
-
- Radiology Clinic/Center
- Vineland, NJ
- NPI 1457370694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396396800000",
"number": "1174522072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 GREENWOOD AVE",
"address_2": "SUITE 150",
"city": "JENKINTOWN",
"state": "PA",
"postal_code": "190462627",
"telephone_number": "215-379-8458",
"fax_number": "267-620-1638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "865 W LANCASTER AVE",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "190103336",
"telephone_number": "610-527-8600",
"fax_number": "610-527-1234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBY",
"first_name": "JAMES",
"middle_name": "H.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-21",
"last_updated": "2014-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NJ",
"license": "25MA02501800",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD011319E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2306107",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bryn Mawr, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.