Edmon Y Jacobson, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

56601 Issued in MA

Practice address

85 Lincoln St
5TH Floor
Framingham, MA 01702-8200

Phone

(508) 875-5585

Fax

(508) 820-0882

NPI assigned

Oct 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: edmonjacobson@eyjacobson.direct.emds.com

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.

• VHS Acquisition Subsidiary Number 9 Inc

  • Psychiatry Physician
  • Natick, MA
  • NPI 1356384101
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224806400000",
    "number": "1467548792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 LINCOLN ST",
            "address_2": "5TH FLOOR",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017028200",
            "telephone_number": "508-875-5585",
            "fax_number": "508-820-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 LINCOLN ST",
            "address_2": "5TH FLOOR",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017028200",
            "telephone_number": "508-875-5585",
            "fax_number": "508-820-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "EDMON",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2008-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "56601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3035565",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Jackson, M.S.ED, BCBA
• Ben Jackson
• Briana Jackson
• Claire Jackson, PT
• Warren Jackson
• Rebecca Khezri Jacobson, MD
• Reuben Nejat Jacobson
• Chase Jacomini, PMHNP
• Jill Jacovitz, M.D.
• Divya Jain

• Obstetrics & Gynecology Physician in Framingham, MA
• Providers in Framingham, MA by specialty
• Obstetrics & Gynecology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.