Active NPI
Seby Jacob MD, LLC
- Internal Medicine Physician
- Milford, CT
National Provider Identifier
1366996803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 54761
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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 DirectoryLocations
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.
-
- Emergency Medicine Physician
- New Haven, CT
- NPI 1568515427
-
- Emergency Medicine Physician
- New Haven, CT
- NPI 1184761348
-
- Ophthalmology Physician
- New Haven, CT
- NPI 1346375722
-
- Emergency Medicine Physician
- Milford, CT
- NPI 1265493225
-
- Internal Medicine Physician
- West Chester, PA
- NPI 1639129208
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.