Active NPI
Tikva Jacobs, MD
- Vascular Surgery Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 214917
- Practice address
- 520 E 70TH St FL 8
New York, NY 10021-9800 - Phone
- (646) 962-8450
- Fax
- (646) 962-0323
- NPI assigned
- Feb 23, 2006
- Last updated
- Oct 11, 2023
- 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 |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 214917 | NY | Primary |
| Surgery Physician | 208600000X | 214917 | NY |
Addresses
Primary practice location
520 E 70TH St FL 8
New York, NY 10021-9800
Mailing address
520 E 70TH St FL 8
New York, NY 10021-9800
Phone (646) 962-8450
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02647923 | Medicaid | NY |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- George Washington University School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
525 E 68TH St
New York, NY 10065-4870
Phone (212) 746-5454
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 85.32
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 66 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 214917 | NY | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weill Medical College of Cornell | Current | Accepting new patients | |
| Weill Medical College of Cornell | Surgery | Current | Accepting new patients |
| Weill Cornell University Medical College | Past | Accepting new patients | |
| North General Physician Services PLLC | Surgery | Past | Accepting new patients |
| Park Lenox Surgical, PC | Vascular Surgery | Past | Accepting new patients |
Locations
50 E 69th St
New York, NY 10021
Phone (212) 570-4000
520 E 70th St
Fl 8
New York, NY 10021
Phone (646) 962-2270
525 E 68th St
New York, NY 10065
Phone (212) 746-2846
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- tij9024@direct.nyp.org
Organizations & group practices 5
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.
-
dba Department of Surgery
- Surgery Physician
- New York, NY
- NPI 1669579017
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1144729385
-
- Internal Medicine Physician
- New York, NY
- NPI 1851315337
Surgery
-
- Vascular Surgery Physician
- New York, NY
- NPI 1992861652
-
- Women's Hospital
- New York, NY
- NPI 1538141536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696982400000",
"number": "1396711040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 E 70TH ST FL 8",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100219800",
"telephone_number": "646-962-8450",
"fax_number": "646-962-0323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 E 70TH ST FL 8",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100219800",
"telephone_number": "646-962-8450",
"fax_number": "646-962-0323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "TIKVA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-23",
"last_updated": "2023-10-11",
"certification_date": "2023-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NY",
"license": "214917",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "214917",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02647923",
"state": "NY"
}
],
"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 Oct 11, 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.
- 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.