Organization Active NPI

Seby Jacob MD, LLC

  • Internal Medicine Physician
  • Milford, CT
National Provider Identifier
1366996803
Registry record updated May 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
54761 Issued in CT
Legal business name
SEBY JACOB MD, LLC
Practice address
2047 Bridgeport Ave
Milford, CT 06460-4655
Phone
(203) 876-4325
NPI assigned
Aug 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2017

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

Authorized official

Name
Dr. Seby Jacob, M.D.
Title
Physician
Phone
(914) 907-5570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 54761 CT Primary

Addresses

Primary practice location

2047 Bridgeport Ave
Milford, CT 06460-4655

Mailing address

2047 Bridgeport Ave
Milford, CT 06460-4655
Phone (203) 876-4325

National Provider Directory

National Provider Directory

Locations

300 Seaside Ave
Milford, CT 06460
Phone (203) 876-4000

2047 Bridgeport Ave
Milford, CT 06460
Phone (203) 876-4000

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1471046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494201600000",
    "number": "1366996803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2047 BRIDGEPORT AVE",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064604655",
            "telephone_number": "203-876-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2047 BRIDGEPORT AVE",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064604655",
            "telephone_number": "203-876-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEBY JACOB MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-13",
        "last_updated": "2017-05-08",
        "status": "A",
        "authorized_official_last_name": "JACOB",
        "authorized_official_first_name": "SEBY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "914-907-5570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "54761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.