Individual provider Active NPI

Steven Andrew Jacobs, D.O.

  • Family Medicine Physician
  • Rockville Centre, NY
National Provider Identifier
1447218532
Registry record updated Dec 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
214758 Issued in NY
Practice address
560 Merrick Rd
Rockville Centre, NY 11570-5445
Phone
(516) 858-2373
Fax
(516) 858-2387
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 214758 NY Primary

Addresses

Primary practice location

560 Merrick Rd
Rockville Centre, NY 11570-5445

Mailing address

1345 RXR PLZ FL 13
Uniondale, NY 11556-1301
Phone (516) 435-0435

Other identifiers 1

IdentifierTypeStateIssuer
1790936854OtherNYNY FAMILY PRACTICE PHYSICIANS P.C ; NPI: 1790936854 TAX ID: 262744378

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
I20040319000019 NY Practitioner - Family PracticePractitioner - Emergency Medicine 9830089143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City Medical of Upper East Side PLLCGroup PAC ID 0648465039, 658 clinicians

Practice addresses (Care Compare)

2459 Merrick Rd
Bellmore, NY 11710-5703
Phone (516) 826-2273

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
82.1
Promoting interoperability
100
Improvement activities
40
Cost
72.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
214758NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical of Upper East Side, PLLC CurrentSince Dec 6, 2013 Accepting new patients
City Medical of Upper East Side, PLLC Current Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Dec 6, 2013 Accepting new patients
South Nassau Primary Medical Care PC Past Accepting new patients
Optimum Care Family Medicine, LLC Family Medicine Past Accepting new patients
City Medical of Upper East Side, PLLC Past Accepting new patients
Ny Family Medical Docs PC Family Medicine Past Accepting new patients
Optimum Care Family Medicine, LLC Past Accepting new patients

Locations

2248 31st St
Astoria, NY 11105
Phone (718) 267-1333

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

2459 Merrick Rd
Bellmore, NY 11710
Phone (516) 826-2273

7425 Grand Ave
Elmhurst, NY 11373
Phone (718) 478-8400

415 Northern Blvd
#1
Great Neck, NY 11021
Phone (516) 829-2273

3276 Hempstead Tpke
Levittown, NY 11756
Phone (516) 764-2273

656 Wellwood Ave
Lindenhurst, NY 11757
Phone (516) 764-2273

585 Merrick Rd
Lynbrook, NY 11563
Phone (516) 596-2273

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

560 Merrick Rd
Rockville Centre, NY 11570
Phone (516) 858-2373

1345 Rxr Plz
Uniondale, NY 11556
Phone (516) 453-0435

1345 Rxr Plz
Fl 13
Uniondale, NY 11556
Phone (516) 453-0435

Interoperability endpoints

  • Direct secure messaging: steven.jacobs.1@2983.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1447218532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 RXR PLZ FL 13",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115561301",
            "telephone_number": "516-435-0435",
            "fax_number": "646-846-3283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 MERRICK RD",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115705445",
            "telephone_number": "516-858-2373",
            "fax_number": "516-858-2387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "STEVEN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "214758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY FAMILY PRACTICE PHYSICIANS P.C  ; NPI: 1790936854  TAX ID: 262744378",
            "identifier": "1790936854",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

Verify at the official NPI Registry.