Active NPI
Essam Jacob, M.D.
- Hospitalist Physician
- Cortlandt Manor, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 233556-1
- Practice address
- 1980 Crompond Road
The Westchester Medical Practice PC
Cortlandt Manor, NY 10567 - Phone
- (914) 734-3600
- Fax
- (914) 734-3601
- NPI assigned
- Feb 20, 2006
- Last updated
- Jun 27, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 233556-1 | NY | Primary |
Addresses
Primary practice location
1980 Crompond Road
The Westchester Medical Practice PC
Cortlandt Manor, NY 10567
Mailing address
50 Dayton Lane, Suite 202
The Westchester Medical Practice PC
Peekskill, NY 10566
Phone (914) 739-0087
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02592643 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) |
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
- Family Practice
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1980 Crompond Rd
Hudson Valley Hospital Center
Cortlandt Manor, NY 10567-4144
Phone (914) 734-3840
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 85.32
- 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 |
|---|---|---|---|
| 233556-1 | NY | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Westchester Medical Practice, PC | Current | Accepting new patients | |
| The Westchester Medical Practice, PC | Current | Accepting new patients | |
| Becker Medical, PC | Past | Accepting new patients | |
| Hudson Valley Hospital Center | Past | Accepting new patients |
Locations
1980 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (914) 734-3600
50 Dayton Ln
Ste 202
Peekskill, NY 10566
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- esj9010@direct.nyp.org
- essam.jacob@direct.hvhc.org
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 4
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 NewYork-Presbyterian Medical Group/Hudson Valley
- Specialist
- Yorktown Heights, NY
- NPI 1225222953
-
dba Newyork-Presbyterian Medical Group/Hudson Valley
- Multi-Specialty Clinic/Center
- Cortlandt Manor, NY
- NPI 1982109120
-
- Specialist
- Cortlandt Manor, NY
- NPI 1265478150
-
- General Acute Care Hospital
- Cortlandt Manor, NY
- NPI 1881659274
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cortlandt Manor, NY
- NPI 1881659274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719446400000",
"number": "1437124831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 DAYTON LANE, SUITE 202",
"address_2": "THE WESTCHESTER MEDICAL PRACTICE PC",
"city": "PEEKSKILL",
"state": "NY",
"postal_code": "10566",
"telephone_number": "914-739-0087",
"fax_number": "914-739-1714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1980 CROMPOND ROAD",
"address_2": "THE WESTCHESTER MEDICAL PRACTICE PC",
"city": "CORTLANDT MANOR",
"state": "NY",
"postal_code": "10567",
"telephone_number": "914-734-3600",
"fax_number": "914-734-3601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOB",
"first_name": "ESSAM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-20",
"last_updated": "2024-06-27",
"certification_date": "2024-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NY",
"license": "233556-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02592643",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "FHIR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "FHIR",
"address_1": "1980 CROMPOND ROAD",
"address_2": "THE WESTCHESTER MEDICAL PRACTICE PC",
"city": "CORTLANDT MANOR",
"state": "NY",
"country_code": "US",
"postal_code": "10567",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cortlandt Manor, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.