Active NPI
Niama Jacobs, M.D.
- Psychiatry Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 277694
- Practice address
- 380 Lexington Ave FL 17
Suite 1714
New York, NY 10168-1799 - Phone
- (401) 339-4452
- NPI assigned
- Jun 18, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 277694 | NY | Primary |
| Psychiatry Physician | 2084P0800X | 25MA09256700 | NJ |
Addresses
Primary practice location
380 Lexington Ave FL 17
Suite 1714
New York, NY 10168-1799
Mailing address
380 Lexington Ave FL 17
Suite 1714
New York, NY 10168-1799
Phone (401) 339-4452
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, MD, NY, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
25 Rockwood PL
Suite 205
Englewood, NJ 07631-4959
Phone (201) 292-1400
5130 E Main St Rd
Suite 2
Batavia, NY 14020-3496
Phone 58534414216610
Hospital & facility affiliations
- Englewood Hospital and Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.34 of 100
- Quality
- 67.9
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.47
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.09 of 100
- Quality
- 86.89
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 277694 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Medical Solutions Inc a Medical Group | Current | Accepting new patients | |
| Hamilton Behavioral MD PA | Current | Accepting new patients | |
| Physician Partners of Englewood, PC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| County of Genesee County Treasurer | Current | Accepting new patients | |
| Medical Associates of Englewood, PC | Current | Accepting new patients | |
| County of Genesee County Treasurer | Current | Accepting new patients | |
| Centra Medical Group, LLC | Past | Accepting new patients |
Locations
8920 Wilshire Blvd
Ste 310
Beverly Hills, CA 90211
Phone (310) 256-2426
14860 Roscoe Blvd
Ste 307
Panorama City, CA 91402
Phone (818) 616-2122
14860 Roscoe Blvd
Ste 200
Panorama City, CA 91402
Phone (818) 830-7751
3007 Tilden St NW
Ste 5N
Washington, DC 20008
201 E University Pkwy
Baltimore, MD 21218
Phone (410) 554-2651
29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300
350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073
25 Rockwood Pl
Ste 205
Englewood, NJ 07631
Phone (201) 292-1400
24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123
201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455
300 Forest Ave
#A
Paramus, NJ 07652
Phone (201) 490-5158
5130 E Main Street Rd
Ste 2
Batavia, NY 14020
Phone (585) 344-1421
Interoperability endpoints
- njacobs249874@direct.englewoodhealth.org
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Batavia, NY
- NPI 1588602064
-
- Internal Medicine Physician
- Jersey City, NJ
- NPI 1154671501
-
- Endocrinology, Diabetes & Metabolism Physician
- Paramus, NJ
- NPI 1548500408
-
- Adolescent Medicine (Internal Medicine) Physician
- Panorama City, CA
- NPI 1972624955
-
- Internal Medicine Physician
- Englewood, NJ
- NPI 1952681918
-
- General Practice Physician
- Baltimore, MD
- NPI 1184046187
-
- Public Health or Welfare Agency
- Batavia, NY
- NPI 1619945573
-
- Family Medicine Physician
- Lynchburg, VA
- NPI 1649228966
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Englewood, NJ
- NPI 1083612881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443398400000",
"number": "1386849560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 LEXINGTON AVE FL 17",
"address_2": "SUITE 1714",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101681799",
"telephone_number": "401-339-4452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 LEXINGTON AVE FL 17",
"address_2": "SUITE 1714",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101681799",
"telephone_number": "401-339-4452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "NIAMA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-18",
"last_updated": "2015-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "277694",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "25MA09256700",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.