Mark I Jacobson, MD

Primary specialty

Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X

License

173191-1 Issued in NY

Practice address

560 White Plains Rd FL 6
Tarrytown, NY 10591-5113

Phone

(914) 345-1100

Fax

(914) 345-1101

NPI assigned

Jan 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 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

Pathology

Education

Other, 1981

Medicare assignment

May accept Medicare assignment

Group practices

Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Englewood Pathologists, PAGroup PAC ID 3779671672, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Montefiore Medical Center Hospital, Bronx, NY, CCN 330059
• Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

86.67 of 100Reported as group

Quality

73.33

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Englewood Pathologists, PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Englewood, NJ
  • NPI 1053366054

  Dermatopathology

  Medicare reassignment Care Compare group NPD
• Montefiore Medical Center

  • Anesthesiology Physician
  • Bronx, NY
  • NPI 1063525152
  Medicare reassignment Care Compare group
• Vanguard Dermatology

  • Specialist
  • Brooklyn, NY
  • NPI 1619179009
  Medicare reassignment NPD
• Bridge Dermatopathology Services PLLC

  • Clinical Medical Laboratory
  • Tarrytown, NY
  • NPI 1093274680
  NPD Authorized official
• Ameripath New York LLC

  • Clinical Medical Laboratory
  • White Plains, NY
  • NPI 1043282841
  NPD (past)
• Ameripath New York LLC

  • Clinical Medical Laboratory
  • Mount Kisco, NY
  • NPI 1962223370
  NPD (past)

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

• Montefiore Medical Center

  • General Acute Care Hospital
  • Bronx, NY
  • NPI 1952476988
  Care Compare affiliation
• Englewood Hospital and Medical Center

  • General Acute Care Hospital
  • Englewood, NJ
  • NPI 1083612881
  Care Compare affiliation

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1831178318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 WHITE PLAINS RD FL 6",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915113",
            "telephone_number": "914-345-1100",
            "fax_number": "914-345-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 WHITE PLAINS RD FL 6",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915113",
            "telephone_number": "914-345-1100",
            "fax_number": "914-345-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "MARK",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "NY",
            "license": "173191-1",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "NY",
            "license": "173191-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynda Hynes, MSED
• Martin Irwin, M.D.
• Madison Isaak
• Nosazena Imade Iyekegbe
• Jordan M.S. Jacobs, M.D.
• Jacqueline G. Salzman, M.D. P.C.
• Alison B. Jampol, LCSW
• Katherine Jenson, ATC
• Jewish Community Center on the Hudson, Inc. (Shames JCC on the Hudson)
• Maria Cristina Jimenez-Salazar, M.A.

• Dermatopathology (Pathology) Physician in Tarrytown, NY
• Providers in Tarrytown, NY by specialty
• Dermatopathology (Pathology) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.