Stacy Lynn Jacobs, MD

Primary specialty

Body Imaging PhysicianTaxonomy code 2085B0100X

License

225209 Issued in NY

Practice address

233 E 69TH St
Apt 8B
New York, NY 10021-5414

Phone

(212) 517-5406

Fax

(212) 535-1564

NPI assigned

Jul 24, 2007

Last updated

May 1, 2014By the provider in NPPES

Sex

Female

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, DE2 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 2

Specialty

Diagnostic Radiology

Education

New York University School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lenox Hill Radiology and Medical Imaging Associates PCGroup PAC ID 2264424712, 245 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

81.08 of 100Reported as group

Quality

62.84

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Lenox Hill Radiology & Medical Imaging Associates, PC

  • Diagnostic Radiology Physician
  • New York, NY
  • NPI 1821036807

  Body Imaging

  Medicare reassignment Care Compare group NPD
• Hudson Valley Radiology Associates PLLC

  • Diagnostic Radiology Physician
  • New City, NY
  • NPI 1174574115
  Medicare reassignment NPD
• New York Private Medical Imaging Practice, PLLC

  • Specialist
  • New York, NY
  • NPI 1740459593
  Medicare reassignment NPD
• Abby Medical, LLC

  dba Go Care at Abby

  • Urgent Care Clinic/Center
  • Newark, DE
  • NPI 1750554572
  Medicare reassignment NPD
• Delaware Radiology Associates PA

  • Diagnostic Radiology Physician
  • Newark, DE
  • NPI 1740706175

  NY

  Medicare reassignment NPD
• New York University Medical Center Faculty Practice Radiology

  • Diagnostic Radiology Physician
  • New York, NY
  • NPI 1114038353
  NPD (past)
• North Shore Health System Medical Faculty Group Practice Inc

  • Hematology & Oncology Physician
  • New Hyde Park, NY
  • NPI 1003409061
  NPD (past)
• Beverly Radiology Medical Group

  dba Westchester Advanced Imaging

  • Diagnostic Radiology Physician
  • Los Angeles, CA
  • NPI 1841720059
  NPD (past)
• Koniver Fiss Mansoory MD PA

  dba Papastavros Associates Medical Imaging LLC

  • Diagnostic Radiology Physician
  • Wilmington, DE
  • NPI 1083615561
  NPD (past)

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398902400000",
    "number": "1801096078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 E 69TH ST",
            "address_2": "APT 8B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215414",
            "telephone_number": "212-517-5406",
            "fax_number": "212-535-1564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 E 69TH ST",
            "address_2": "APT 8B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215414",
            "telephone_number": "212-517-5406",
            "fax_number": "212-535-1564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "STACY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-24",
        "last_updated": "2014-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NY",
            "license": "225209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Emily Jacobs, M.D.
• Sarah Freedman Jacobs
• Shari Jacobs, LCSW
• Sharon G Jacobs, MD
• Shimon Jacobs
• Stanley H Jacobs, PH.D.
• Steven William Jacobs
• Sydney Jacobs
• Tamara Jacobs, PT, DPT
• Theodore Joseph Jacobs

• Body Imaging Physician in New York, NY
• Providers in New York, NY by specialty
• Body Imaging Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; 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.