Jubin Jacob, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

296356 Issued in NY

Practice address

50 Leroy St
Potsdam, NY 13676-1786

Phone

(315) 265-4924

NPI assigned

Apr 2, 2014

Last updated

Jul 7, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, PA, ME, AL4 enrollments

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 4

Specialty

Diagnostic Radiology

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Maritime Radiology Associates PCGroup PAC ID 2961566989, 8 clinicians

St Lawrence Radiology Assoc PCGroup PAC ID 2264421122, 25 clinicians

Olean Radiology, PCGroup PAC ID 9133118862, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Auburn Community Hospital Hospital, Auburn, NY, CCN 330235
• Canton-Potsdam Hospital Hospital, Potsdam, NY, CCN 330197
• Oneida Health Hospital Hospital, Oneida, NY, CCN 330115
• Community Memorial Hospital, Inc Hospital, Hamilton, NY, CCN 331316
• Brooks-TLC Hospital System, Inc Hospital, Dunkirk, NY, CCN 330229

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 27)

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.

• Olean Radiology, PC

  • Diagnostic Radiology Physician
  • Olean, NY
  • NPI 1700829850
  Medicare reassignment Care Compare group NPD
• St Lawrence Radiology Assoc PC

  • Diagnostic Radiology Physician
  • Potsdam, NY
  • NPI 1154380863
  Medicare reassignment Care Compare group NPD
• Maritime Radiology Associates PC

  • Diagnostic Radiology Physician
  • Fort Kent, ME
  • NPI 1760628358
  Medicare reassignment Care Compare group NPD
• Alabama Imaging PC

  • Specialist
  • Montgomery, AL
  • NPI 1689621211
  Medicare reassignment NPD
• Montgomery Radiology Associates, PA

  • Specialist
  • Montgomery, AL
  • NPI 1023046604
  Medicare reassignment NPD
• Olean General Hospital

  • General Practice Physician
  • Bradford, PA
  • NPI 1649296781

  NY

  Medicare reassignment NPD
• Selma Radiology Associates P C

  • Specialist
  • Montgomery, AL
  • NPI 1669429296
  Medicare reassignment NPD
• Upstate Radiology, PC

  • Specialist
  • Watertown, NY
  • NPI 1508241878
  Medicare reassignment
• Olean General Hospital

  dba Foothills Medical Group

  • General Practice Physician
  • Olean, NY
  • NPI 1033499017
  NPD
• Imaging Subspecialist of New York

  • Diagnostic Neuroimaging (Radiology) Physician
  • Middletown, NY
  • NPI 1124655352
  NPD (past)
• University Radiology at Buffalo, Inc.

  • Diagnostic Radiology Physician
  • Buffalo, NY
  • NPI 1750744751
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Auburn Community Hospital

  • General Acute Care Hospital
  • Auburn, NY
  • NPI 1093712911
  Care Compare affiliation
• Brooks - TLC Hospital System Inc

  • Family Medicine Physician
  • Gowanda, NY
  • NPI 1538419502

  Hospital

  Care Compare affiliation
• Brooks - TLC Hospital System, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Derby, NY
  • NPI 1225654494

  Hospital

  Care Compare affiliation
• Brooks - TLC Hospital System, Inc.

  • Urgent Care Clinic/Center
  • Gowanda, NY
  • NPI 1487738886

  Hospital

  Care Compare affiliation
• Brooks-TLC Hospital System, Inc.

  • General Acute Care Hospital
  • Dunkirk, NY
  • NPI 1215917224
  Care Compare affiliation
• Canton-Potsdam Hospital

  • General Acute Care Hospital
  • Potsdam, NY
  • NPI 1568548782
  Care Compare affiliation
• Community Memorial Hospital

  • Internal Medicine Physician
  • Hamilton, NY
  • NPI 1932100393

  Hospital

  Care Compare affiliation
• Community Memorial Hospital

  • Critical Access Hospital
  • Hamilton, NY
  • NPI 1992707608
  Care Compare affiliation
• Oneida Health Systems, Inc

  dba Oneida Healthcare Center

  • General Acute Care Hospital
  • Oneida, NY
  • NPI 1962408203
  Care Compare affiliation

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1710305115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 LEROY ST",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136761786",
            "telephone_number": "315-265-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 LEROY ST",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136761786",
            "telephone_number": "315-265-4924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "JUBIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-02",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "296356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Huang, M.D.
• Emily Hunt
• Atif Suhail Iqbal, M.D.
• Nadine Marie Irvine, RN
• Wayne Jeffery Jackson, PA
• James Huang Physician PLLC (Potsdam Anesthesia Associates)
• Eboni Christina January, M.D.
• Amber Jarrett, R.N.
• Matthew Clark Jenison, ACNP
• Bernadette Lori Jenkins, OPTICIAN

• Diagnostic Radiology Physician in Potsdam, NY
• Providers in Potsdam, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.