Individual provider Active NPI

Jacob V George, MD

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1679674717
Registry record updated May 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
136708 Issued in NY
Practice address
231 S 3Rd St
Brooklyn, NY 11211-5601
Phone
(718) 599-0505
Fax
(718) 599-6859
NPI assigned
Sep 25, 2006
Last updated
May 27, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 136708 NY Primary

Addresses

Primary practice location

231 S 3Rd St
Brooklyn, NY 11211-5601

Mailing address

3 Nash PL
Armonk, NY 10504-2530
Phone (914) 273-8216

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
I20110406000629 NY Practitioner - Internal Medicine 3971787516 Reassigns benefits to 1 organization
Practice locations: Armonk, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Perelman School of Med at the University of Pennsylvania, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Williamsburgh Internal Medicine P.C.Group PAC ID 8921265349, 3 clinicians

Practice addresses (Care Compare)

231 S 3Rd St
Brooklyn, NY 11211-5601
Phone (718) 599-0505

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Empire State Radiology P C PastSince Dec 25, 2023 Accepting new patients
Radiology Affiliates of Central New Jersey PC PastSince Jul 18, 2024 Accepting new patients

Networks

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

Interoperability endpoints

  • Direct secure messaging: jgeorge1616784@nychhc.direct-ci.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306454400000",
    "number": "1679674717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 NASH PL",
            "city": "ARMONK",
            "state": "NY",
            "postal_code": "105042530",
            "telephone_number": "914-273-8216",
            "fax_number": "718-599-6859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 S 3RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112115601",
            "telephone_number": "718-599-0505",
            "fax_number": "718-599-6859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "JACOB",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2011-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "136708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.