Individual provider Active NPI

Steven Jacoby, M.D., F.A.C.C.

  • Cardiovascular Disease Physician
  • North Haven, CT
National Provider Identifier
1215948526
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
026166 Issued in CT
Practice address
2 Devine Street
Suite # 1
North Haven, CT 06473-2193
Phone
(203) 789-2272
Fax
(203) 865-8614
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 026166 CT Primary

Addresses

Primary practice location

2 Devine Street
Suite # 1
North Haven, CT 06473-2193

Mailing address

2 Devine Street
Suite # 1
North Haven, CT 06473-2193
Phone (203) 789-2272

Other identifiers 2

IdentifierTypeStateIssuer
060019531OtherCTMEDICARE RAILROAD PIN
001261668MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20061221000534 CT Practitioner - Cardiovascular Disease (Cardiology) 1658371687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Harvard Medical School, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yale UniversityGroup PAC ID 9436061736, 2,632 clinicians

Practice addresses (Care Compare)

800 Howard Ave
New Haven, CT 06519-1369
Phone (203) 785-2140

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.36 of 100Reported as group
Quality
77.36
Promoting interoperability
100
Improvement activities
40
Cost
74.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
026166CTMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince Feb 21, 2013 Accepting new patients
Yale University CurrentSince Feb 21, 2013 Accepting new patients
Saint Raphael Faculty Physicians Cardiovascular Disease Past Accepting new patients
Hospital of Saint Raphael Past Accepting new patients
Cardiology Associates of New Haven, PC Cardiovascular Disease Past Accepting new patients

Locations

1354 Chapel St
New Haven, CT 06511
Phone (203) 867-8300

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

1450 Chapel St
New Haven, CT 06511
Phone (203) 789-3151

2 Devine St
#1
North Haven, CT 06473
Phone (203) 789-2272

5 Pequot Park Rd
Ste 101
Westbrook, CT 06498
Phone (860) 399-3100

Interoperability endpoints

  • Direct secure messaging: sjacoby3484@direct.ynhh.org

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361923200000",
    "number": "1215948526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 DEVINE STREET",
            "address_2": "SUITE # 1",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064732193",
            "telephone_number": "203-789-2272",
            "fax_number": "203-865-8614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 DEVINE STREET",
            "address_2": "SUITE # 1",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064732193",
            "telephone_number": "203-789-2272",
            "fax_number": "203-865-8614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBY",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "M.D., F.A.C.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2013-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "026166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PIN",
            "identifier": "060019531",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001261668",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Haven, CT

Sources for this page

Verify at the official NPI Registry.