Active NPI
Ramon Eduardo Acosta Jacobs-Shaw, MD
- Internal Medicine Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 259692
- Practice address
- 455 Sutter Ave
Brooklyn, NY 11212-8111 - Phone
- (718) 765-6550
- Fax
- (347) 620-9739
- NPI assigned
- Mar 9, 2006
- Last updated
- Apr 4, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | C149431 | CA | |
| Internal Medicine Physician | 207R00000X | MD218141 | OR | |
| Internal Medicine Physician | 207R00000X | V3618 | TX | |
| Internal Medicine Physician | 207R00000X | 259692 | NY | Primary |
| Internal Medicine Physician | 207R00000X | 84174-20 | WI |
Addresses
Primary practice location
455 Sutter Ave
Brooklyn, NY 11212-8111
Mailing address
30 W Monroe St Ste 1200
Chicago, IL 60603-2420
Phone (312) 733-9730
Other practice location 1
9209 Colima Rd Ste 1000
Whittier, CA 90605-1813
Phone (562) 677-2491
Other practice location 2
34 Old Mill Rd
Weston, CT 06883-1542
Phone (910) 987-3272
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD218141 | OR | MD | Internal Medicine Physician |
| V3618 | TX | MD | Internal Medicine Physician |
| 84174-20 | WI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maimonides Medical Center | Current | Accepting new patients | |
| New York University | Internal Medicine | Current | Accepting new patients |
| New York University | Internal Medicine | Current | Accepting new patients |
| Nuvance Health Medical Practice PC | Internal Medicine | Current | Accepting new patients |
| Health Quest Medical Practice, PC | Current | Accepting new patients | |
| Carelon Medical Partners, PC | Internal Medicine | Past | Accepting new patients |
| University of North Carolina at Chapel Hill | Internal Medicine | Past | Accepting new patients |
Locations
6511 Spring Brook Ave
Rhinebeck, NY 12572
Phone (845) 871-3368
111 Broadway
Fl 2
Trinity, NY 10006
Phone (212) 263-9700
14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224
Interoperability endpoints
- ramon.jacobs@550128338010116.direct.elationemr.com
- ramon.jacobsshaw.p1@direct.caremorewest.nextgenshare.com
- ramonjacobs-shaw@mai.allscriptsdirect.net
- rjacobs66524@direct.unc.nchie.net
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Poughkeepsie, NY
- NPI 1437358033
-
dba NYU Faculty Group Practice
- Cardiovascular Disease Physician
- Boynton Beach, FL
- NPI 1285826438
Internal Medicine, NY
-
- Diagnostic Radiology Physician
- Kingston, NY
- NPI 1558906610
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
-
dba NYU Langone Ambulatory Care Chelsea
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
Internal Medicine
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Nashville, TN
- NPI 1124443403
-
dba UNC Faculty Physicians
- Anesthesiology Physician
- Chapel Hill, NC
- NPI 1780669200
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743724800000",
"number": "1619945326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 W MONROE ST STE 1200",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606032420",
"telephone_number": "312-733-9730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 SUTTER AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112128111",
"telephone_number": "718-765-6550",
"fax_number": "347-620-9739"
}
],
"practiceLocations": [
{
"address_1": "9209 Colima Rd Ste 1000",
"address_purpose": "LOCATION",
"city": "Whittier",
"state": "CA",
"postal_code": "906051813",
"country_code": "US",
"telephone_number": "562-677-2491",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "34 Old Mill Rd",
"address_purpose": "LOCATION",
"city": "Weston",
"state": "CT",
"postal_code": "068831542",
"country_code": "US",
"telephone_number": "910-987-3272",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACOBS-SHAW",
"first_name": "RAMON",
"middle_name": "EDUARDO ACOSTA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-09",
"last_updated": "2025-04-04",
"certification_date": "2025-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "C149431",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "MD218141",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "V3618",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "259692",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WI",
"license": "84174-20",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; 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.