Individual provider Active NPI

Niama Jacobs, M.D.

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1386849560
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
277694 Issued in NY
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

Updated by the provider on Sep 28, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, CA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20131015001869 NJ Practitioner - Psychiatry 4082848593 Reassigns benefits to 3 organizations
I20240104000549 MD Practitioner - Psychiatry 4082848593 Reassigns benefits to 1 organization
I20251210001435 NY Practitioner - Psychiatry 4082848593 Reassigns benefits to 1 organization
I20260105002141 CA Practitioner - Psychiatry 4082848593 Reassigns benefits to 1 organization

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
Physician Partners of Englewood PCGroup PAC ID 1153572482, 94 clinicians
County of Genesee County TreasurerGroup PAC ID 2961398060, 14 clinicians

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 Hospital, Englewood, NJ, CCN 310045

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
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

LicenseStateTypeSpecialty
277694NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Medical Solutions Inc a Medical Group CurrentSince Oct 1, 2025 Accepting new patients
Hamilton Behavioral MD PA CurrentSince Aug 1, 2025 Accepting new patients
Physician Partners of Englewood, PC CurrentSince Jan 1, 2025 Accepting new patients
Medstar Medical Group II LLC CurrentSince Nov 20, 2023 Accepting new patients
County of Genesee County Treasurer CurrentSince Dec 1, 2025 Accepting new patients
Medical Associates of Englewood, PC CurrentSince Jun 25, 2018 Accepting new patients
County of Genesee County Treasurer CurrentSince Dec 1, 2025 Accepting new patients
Centra Medical Group, LLC PastSince Aug 1, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.