Steven Jacobs, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

176467 Issued in NY

Practice address

Hudson Valley Hospice, Inc
374 Violet Avenue
Poughkeepsie, NY 12601-1034

Phone

(845) 473-2273

Fax

(845) 790-0009

NPI assigned

Jul 8, 2005

Last updated

Mar 7, 2023By the provider in NPPES

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hudson Valley Medical Health Choices, P.C.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Poughkeepsie, NY
  • NPI 1285264812
  Medicare reassignment NPD
• Optum Medical Care, P.C.

  dba CareMount Medical, P.C.

  • Cardiovascular Disease Physician
  • Mount Kisco, NY
  • NPI 1982643003
  Medicare reassignment NPD
• Optum Medical Care, P.C.

  • Durable Medical Equipment & Medical Supplies
  • New Hyde Park, NY
  • NPI 1053190595
  NPD

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1205834736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HUDSON VALLEY HOSPICE, INC",
            "address_2": "374 VIOLET AVENUE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011034",
            "telephone_number": "845-473-2273",
            "fax_number": "845-790-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HUDSON VALLEY HOSPICE, INC",
            "address_2": "374 VIOLET AVENUE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011034",
            "telephone_number": "845-473-2273",
            "fax_number": "845-790-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "176467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01386483",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Jackson, LPN
• Rebecca Ann Jackson, OTR/L
• Sara Jackson, LPN
• Taeshira Jackson, LMSW
• Karen Jacobs, MS, ATC, CSCS
• Mumtazuddin Zubair Jafar, MD FACC
• Akshar Jaglan, DO
• Brittany Irene Jakubiak
• James J Delorenzo, DPM PLLC
• James J. Willoughby, D.D.S.,P.C.

• Internal Medicine Physician in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.