Michael Jacobson, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

163279 Issued in NY

Practice address

2 E End Ave Apt 6B
New York, NY 10075-1153

Phone

(646) 238-0560

Fax

(646) 619-4711

NPI assigned

Sep 20, 2006

Last updated

Apr 14, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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 Medicine

Practice roles

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.

• Lenox Hill Cardiology Associates

  • Specialist
  • New York, NY
  • NPI 1487780870
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1316044563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 E END AVE APT 6B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751153",
            "telephone_number": "646-238-0560",
            "fax_number": "646-619-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 E END AVE APT 6B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751153",
            "telephone_number": "646-238-0560",
            "fax_number": "646-619-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "163279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence David Jacobson, PH.D.
• Leslie Jacobson, M.D.
• Lyn Jacobson, LMSW
• Maria Letizia Jacobson, LMSW
• Mark Nathan Jacobson, DDS
• Robin Sue Jacobson, MD
• Roseann Jacobson, DIPL.AC.
• Simone Jacobson, MS, CCC-SLP
• Tess Jacobson
• Austin Jacobus, NP

• Cardiovascular Disease Physician in New York, NY
• Providers in New York, NY by specialty
• Cardiovascular Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.