Active NPI
Elizabeth Silverman Jacobs, PA-C
- Surgical Physician Assistant
- Washington, DC
National Provider Identifier
1770910440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA031083
- Practice address
- 900 23Rd St NW
Washington, DC 20037-2342 - Phone
- (301) 715-4000
- NPI assigned
- Sep 26, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA031083 | DC | |
| Medical Physician Assistant | 363AM0700X | C0005211 | MD | |
| Surgical Physician Assistant | 363AS0400X | PA031083 | DC | Primary |
Addresses
Primary practice location
900 23Rd St NW
Washington, DC 20037-2342
Mailing address
900 23Rd St NW
Washington, DC 20037-2342
Phone (301) 715-4000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C0005211 | Other | MD | MD LICENSE |
| PA031083 | Other | DC | DC LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0005211 | MD | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709078400000",
"number": "1770910440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 23RD ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200372342",
"telephone_number": "301-715-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 23RD ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200372342",
"telephone_number": "301-715-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "ELIZABETH",
"middle_name": "SILVERMAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-26",
"last_updated": "2024-02-28",
"certification_date": "2024-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "DC",
"license": "PA031083",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MD",
"license": "C0005211",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "DC",
"license": "PA031083",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD LICENSE",
"identifier": "C0005211",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DC LICENSE",
"identifier": "PA031083",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.