Individual provider Active NPI

Adam Howard Jacobi, M.D.

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1427375955
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
255614-1 Issued in NY
Practice address
1428 Madison Ave
New York, NY 10029-6508
Phone
(212) 427-1540
Fax
(212) 410-7196
NPI assigned
Apr 23, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 255614-1 NY Primary

Addresses

Primary practice location

1428 Madison Ave
New York, NY 10029-6508

Mailing address

1 Gustave L Levy PL
Box 3000
New York, NY 10029-6500
Phone (212) 987-3100

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100927001112 NY Practitioner - Diagnostic Radiology 6709902745 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Albert Einstein College of Medicine of Yeshiva University, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fpa Hospital BasedGroup PAC ID 4789826694, 423 clinicians

Practice addresses (Care Compare)

1 Gustave L Levy PL
New York, NY 10029-6504
Phone (212) 731-7822

10 Union SQ E
New York, NY 10003-3314
Phone (212) 241-8395

100 TH St and Madison Ave
New York, NY 10029-6503
Phone (212) 241-6500

1000 10TH Ave
New York, NY 10019-1147
Phone (212) 241-6426

1111 Amsterdam Ave
New York, NY 10025-1716
Phone (212) 241-6426

1176 5TH Ave
New York, NY 10029-6503
Phone (212) 241-8395

120 New York Ave
Huntington, NY 11743-2743
Phone (631) 659-4400

1470 Madison Ave
New York, NY 10029-6542
Phone (212) 241-8426

2510 30TH Ave
Long Island City, NY 11102-2448
Phone (718) 267-4390

2520 30TH Ave
Long Island City, NY 11102-2448
Phone (718) 267-4230

3131 Kings Hwy
FL 1
Brooklyn, NY 11234-2644
Phone (718) 951-2930

3201 Kings Hwy
Brooklyn, NY 11234-2625
Phone (718) 252-3000

325 W 15TH St
New York, NY 10011-5903
Phone (212) 604-6009

3712 82ND St
Jackson Heights, NY 11372-7028
Phone (718) 879-1600

425 W 59TH St
New York, NY 10019-8022
Phone (212) 241-8333

5 E 98TH St
New York, NY 10029-6501

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
255614-1NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fpa Hospital Based CurrentSince Jun 30, 2013 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine Diagnostic Radiology CurrentSince Aug 23, 2017 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Aug 1, 2012 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine CurrentSince Aug 23, 2017 Accepting new patients
The New York Proton Center CurrentSince Oct 1, 2020 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Oct 4, 2025 Accepting new patients
Fpa Hospital Based Current Accepting new patients
Fpa Hospital Based Diagnostic Radiology CurrentSince Jun 30, 2013 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Aug 1, 2012 Accepting new patients
Icahn School of Medicine at Mount Sinai Diagnostic Radiology CurrentSince Oct 4, 2025 Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients
Montefiore Medical Center Diagnostic Radiology Past Accepting new patients
Mount Sinai School of Medicine Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

393 Old Country Rd
Carle Place, NY 11514
Phone (516) 877-0977

1436 Broadway
Hewlett, NY 11557
Phone (516) 563-7200

325 Park Ave
Huntington, NY 11743
Phone (631) 351-3700

120 New York Ave
Huntington, NY 11743
Phone (631) 351-3766

3712 82nd St
Jackson Hts, NY 11372
Phone (718) 879-1600

3722 82nd St
Jackson Hts, NY 11372
Phone (718) 779-1600

1155 Northern Blvd
Manhasset, NY 11030
Phone (516) 407-4000

225 E 126th St
New York, NY 10035
Phone (646) 813-1880

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

1176 5th Ave
Lbby
New York, NY 10029

1184 5th Ave
#1235
New York, NY 10029
Phone (212) 241-6381

17E E 102nd St
#6D
New York, NY 10029
Phone (212) 241-6381

1470 Madison Ave
New York, NY 10029
Phone (212) 241-0806

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

1428 Madison Ave
New York, NY 10029
Phone (212) 241-6947

9901 Queens Blvd
Rego Park, NY 11374
Phone (718) 268-4500

341 Central Park Ave
Scarsdale, NY 10583
Phone (718) 676-5309

1441 South Ave
Ste 205
Staten Island, NY 10314

1441 South Ave
Staten Island, NY 10314
Phone (332) 243-6900

11 Ralph Pl
Ste 201
Staten Island, NY 10304
Phone (718) 556-6565

2020 Wantagh Ave
Wantagh, NY 11793
Phone (516) 248-2422

1086 N Broadway
Yonkers, NY 10701
Phone (914) 771-9666

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364947200000",
    "number": "1427375955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GUSTAVE L LEVY PL",
            "address_2": "BOX 3000",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296500",
            "telephone_number": "212-987-3100",
            "fax_number": "212-731-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 MADISON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296508",
            "telephone_number": "212-427-1540",
            "fax_number": "212-410-7196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBI",
        "first_name": "ADAM",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-23",
        "last_updated": "2013-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "255614-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.