Individual provider Active NPI

Steven Kenneth Jacobs, M.D.

  • Neurological Surgery Physician
  • Fishkill, NY
National Provider Identifier
1518957182
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
60170107 Issued in NY
Practice address
4 Lafayette CT
Fishkill, NY 12524-3036
Phone
(845) 896-9200
Fax
(845) 896-3262
NPI assigned
Oct 25, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 60170107 NY Primary

Addresses

Primary practice location

4 Lafayette CT
Fishkill, NY 12524-3036

Mailing address

4 Lafayette CT
Fishkill, NY 12524-3036
Phone (845) 896-9200

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
I20050406001192 NY Practitioner - Neurosurgery 9537116041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
New York University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Neurosurgical PLLCGroup PAC ID 3678642741, 2 clinicians

Practice addresses (Care Compare)

4 Lafayette Court
Fishkill, NY 12524-3036

70 Hatfield LN
Goshen, NY 10924-6734
Phone (845) 896-9200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60170107NYMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York Neurosurgical PLLC Neurological Surgery CurrentSince Nov 1, 2004 Accepting new patients

Locations

200 Westage Business Ctr Dr
Ste 224
Fishkill, NY 12524
Phone (845) 896-1809

4 Lafayette Ct
Fishkill, NY 12524
Phone (845) 896-5140

5910 Junction Blvd
Flushing, NY 11373
Phone (718) 271-6883

70 Hatfield Ln
Ste 201
Goshen, NY 10924
Phone (845) 294-2006

70 Hatfield Ln
Goshen, NY 10924
Phone (845) 294-2006

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: sjacobs@direct.health-quest.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394409600000",
    "number": "1518957182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 LAFAYETTE CT",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125243036",
            "telephone_number": "845-896-9200",
            "fax_number": "845-896-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 LAFAYETTE CT",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125243036",
            "telephone_number": "845-896-9200",
            "fax_number": "845-896-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "STEVEN",
        "middle_name": "KENNETH",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2014-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "60170107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishkill, NY

Sources for this page

Verify at the official NPI Registry.