Organization Active NPI

Joseph B. Jacobs, M.D., P.C.

  • Specialist
  • New York, NY
National Provider Identifier
1487957569
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
124099 Issued in NY
Legal business name
JOSEPH B. JACOBS, M.D., P.C.
Practice address
345 E 37TH St
Suite 306
New York, NY 10016-3256
Phone
(646) 754-1203
Fax
(646) 754-1222
NPI assigned
Dec 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2013

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

Authorized official

Name
Dr. Joseph B. Jacobs, M.D.
Title
President
Phone
(212) 263-7398

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 124099 NY Primary

Addresses

Primary practice location

345 E 37TH St
Suite 306
New York, NY 10016-3256

Mailing address

345 E 37TH St
Suite 306
New York, NY 10016-3256
Phone (646) 754-1203

Other identifiers 1

IdentifierTypeStateIssuer
NS044OtherNYOXFORD

National Provider Directory

National Provider Directory

Locations

345 E 37th St
Rm 306
New York, NY 10016
Phone (212) 682-4711

NPI Registry JSON

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378944000000",
    "number": "1487957569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 E 37TH ST",
            "address_2": "SUITE 306",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163256",
            "telephone_number": "646-754-1203",
            "fax_number": "646-754-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 E 37TH ST",
            "address_2": "SUITE 306",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163256",
            "telephone_number": "646-754-1203",
            "fax_number": "646-754-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH B. JACOBS, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-13",
        "last_updated": "2013-09-12",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-263-7398",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "124099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "NS044",
            "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 Sep 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.