Individual provider Active NPI

Jacob Newcomb, M.D.

  • Emergency Medicine Physician
  • New York, NY
National Provider Identifier
1245640978
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD70024947 Issued in WA
Practice address
525 E 68TH St
New York, NY 10065
Phone
(212) 746-5050
NPI assigned
May 2, 2014
Last updated
Oct 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD70024947 WA Primary
Emergency Medicine Physician 207P00000X A154489 CA

Addresses

Primary practice location

525 E 68TH St
New York, NY 10065

Mailing address

PO Box 7383
1601 W Atherton Rd.
Flint, MI 48507-0383

Other practice location 1

1401 S Grand Ave
Los Angeles, CA 90015-3010
Phone (213) 742-5555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180820003495 CA Practitioner - Emergency Medicine 1951650266 Reassigns benefits to 5 organizations
I20251016002226 WA Practitioner - Emergency Medicine 1951650266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Michigan State University College of Human Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Emergency Physicians LLCGroup PAC ID 3476462334, 267 clinicians
Golden State Emergency Physicians IncGroup PAC ID 4981885951, 26 clinicians
Grand Avenue Emergency Physicians Medical Group IncGroup PAC ID 7315206653, 13 clinicians

Practice addresses (Care Compare)

1211 24TH St
Anacortes, WA 98221-2562
Phone (360) 299-1300

1401 S Grand Ave
Los Angeles, CA 90015-3010
Phone (213) 742-5555

2215 Truxtun Ave
Bakersfield, CA 93301-3602
Phone (661) 632-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
92.65
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.94 of 100Reported as group
Quality
94.24
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A154489CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Emergency Physicians LLC Emergency Medicine CurrentSince Sep 30, 2025 Accepting new patients
Redondo Emergency Physicians, Inc. Emergency Medicine CurrentSince Apr 1, 2020 Accepting new patients
Bel Air Critical Care Medical Group, Inc. CurrentSince May 12, 2020 Accepting new patients
Nes Western Group, a Professional Corporation Emergency Medicine CurrentSince Jan 2, 2024 Accepting new patients
Nes Western Group, a Professional Corporation Emergency Medicine CurrentSince Jan 2, 2024 Accepting new patients
Emergency Medicine Physicians of Honolulu Pali Momi, LLC Emergency Medicine CurrentSince Mar 1, 2023 Accepting new patients
Golden State Emergency Physicians Inc Emergency Medicine CurrentSince Jul 1, 2018 Accepting new patients
Grand Avenue Emergency Physicians Medical Group Inc Emergency Medicine CurrentSince Jan 11, 2023 Accepting new patients

Locations

2215 Truxtun Ave
Bakersfield, CA 93301
Phone (661) 477-9283

400 Old River Rd
Bakersfield, CA 93311
Phone (661) 663-6000

1145 W Redondo Beach Blvd
Gardena, CA 90247
Phone (310) 532-4200

1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

98-1079 Moanalua Rd
Aiea, HI 96701
Phone (808) 485-4301

1211 24th St
Anacortes, WA 98221
Phone (360) 293-3181

914 S Scheuber Rd
Centralia, WA 98531
Phone (360) 330-8516

888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115

1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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": "1398988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1245640978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7383",
            "address_2": "1601 W ATHERTON RD.",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485070383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E 68TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10065",
            "telephone_number": "212-746-5050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 S Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900153010",
            "country_code": "US",
            "telephone_number": "213-742-5555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWCOMB",
        "first_name": "JACOB",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-02",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD70024947",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A154489",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.