Individual provider Active NPI

James H. Jacoby, M.D.

  • Diagnostic Radiology Physician
  • Bryn Mawr, PA
National Provider Identifier
1174522072
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD011319E Issued in PA
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

Updated by the provider on Apr 2, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2306107MedicaidNJ

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

LicenseStateTypeSpecialty
25MA02501800NJMDDiagnostic Radiology Physician
MD011319EPAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew 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 PastSince Apr 6, 2009 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.

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.

Verify at the official NPI Registry.