Jerome Lee Jacobs, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

079800 Issued in NY

Practice address

93 Old Farm Road South
Pleasantville, NY 10570-1505

Phone

(914) 747-0724

Fax

(914) 769-7123

NPI assigned

Nov 29, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740357185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 OLD FARM ROAD SOUTH",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105701505",
            "telephone_number": "914-747-0724",
            "fax_number": "914-769-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 OLD FARM ROAD SOUTH",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105701505",
            "telephone_number": "914-747-0724",
            "fax_number": "914-769-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "JEROME",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "079800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Institutes of Applied Human Dynamics
• Integral Health Chiropractic, P.C.
• J.J. Wein OT PLLC
• Jenifer Aedra Jacobs Wein, OTR/L
• Corrie Jacobs, OTR/L
• Denise A Jaffe, M.S., C.C.C.
• James K. Zimmerman PH.D. PC
• Elizabeth Ann Jankowski, OTR/L
• Yasmin Simone Jennings
• Jewish Child Care Association of New York Edenwald

• Psychiatry Physician in Pleasantville, NY
• Providers in Pleasantville, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.