Active NPI
Eyas Jacob, MD
- Hospitalist Physician
- Manchester, NH
National Provider Identifier
1518324417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 17570
- Practice address
- 100 McGregor St
Manchester, NH 03102-3730 - Phone
- (603) 663-5310
- Fax
- (603) 663-8015
- NPI assigned
- Jan 22, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 | 17570 | NH | Primary |
Addresses
Primary practice location
100 McGregor St
Manchester, NH 03102-3730
Mailing address
100 McGregor Street
Manchester, NH 03102
Phone (603) 663-5310
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cmcnh@gohnh.allscriptsdirect.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Collins Physician Services, LLC | Hospitalist | Current | Accepting new patients |
Locations
4300 Alton Rd
Miami Beach, FL 33140
Phone (305) 481-9776
Organizations & group practices 1
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.
-
- Hospitalist Physician
- Miami Beach, FL
- NPI 1457839524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617580800000",
"number": "1518324417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MCGREGOR STREET",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "03102",
"telephone_number": "603-663-5310",
"fax_number": "603-663-8015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MCGREGOR ST",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031023730",
"telephone_number": "603-663-5310",
"fax_number": "603-663-8015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOB",
"first_name": "EYAS",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-01-22",
"last_updated": "2021-04-05",
"certification_date": "2021-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NH",
"license": "17570",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cmcnh@gohnh.allscriptsdirect.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "100 McGregor St",
"city": "Manchester",
"state": "NH",
"country_code": "US",
"postal_code": "031023730",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.