Active NPI
Linda H Jacobs, MD
- Pediatrics Physician
- Syosset, NY
National Provider Identifier
1275627556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 217901
- Practice address
- 50 Underhill Blvd
Suite 101
Syosset, NY 11791-3418 - Phone
- (516) 921-2122
- Fax
- (516) 921-0670
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 217901 | NY | Primary |
Addresses
Primary practice location
50 Underhill Blvd
Suite 101
Syosset, NY 11791-3418
Mailing address
50 Underhill Blvd
Suite 101
Syosset, NY 11791-3418
Phone (516) 921-2122
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Medical Care, P.C. | Current | Accepting new patients | |
| Optum Medical Care, P.C. | Current | Accepting new patients | |
| Prohealth Care Associates LLP | Pediatrics | Past | Accepting new patients |
| Mesibov and Altman LLP | Pediatrics | Past | Accepting new patients |
Locations
110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192
90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050
Philadelphia, PA 19195
Organizations & group practices 4
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.
-
- Cardiovascular Disease Physician
- Mount Kisco, NY
- NPI 1982643003
-
- Durable Medical Equipment & Medical Supplies
- New Hyde Park, NY
- NPI 1053190595
-
- Pediatrics Physician
- Syosset, NY
- NPI 1932273455
-
- Internal Medicine Physician
- Lake Success, NY
- NPI 1275596280
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275627556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 UNDERHILL BLVD",
"address_2": "SUITE 101",
"city": "SYOSSET",
"state": "NY",
"postal_code": "117913418",
"telephone_number": "516-921-2122",
"fax_number": "516-921-0670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 UNDERHILL BLVD",
"address_2": "SUITE 101",
"city": "SYOSSET",
"state": "NY",
"postal_code": "117913418",
"telephone_number": "516-921-2122",
"fax_number": "516-921-0670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "LINDA",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "217901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syosset, NY
- Linda Ivans
- Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC
- J.J. Leaps & Bounds, Inc
- Jeremy Jacob
- William Jacobowitz, MSN., R.N., EDD
- Jacqueline Baer Mental Health Counseling Services PLLC
- Jennis Jagdeo-Dyal, PA
- Annie Myungai Jang, CRNA
- Geetika Jayaswal
- Michelle Jaycoff
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.