Active NPI
Ashley Keyes Jacobs
- Dermatology Physician
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 267656
- Practice address
- 234 E 149TH St # 8a
Bronx, NY 10451-5504 - Phone
- (718) 579-6151
- NPI assigned
- Mar 31, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 267656 | NY | Primary |
Addresses
Primary practice location
234 E 149TH St # 8a
Bronx, NY 10451-5504
Mailing address
10533 Le Conte Ave
Los Angeles, CA 90024-3305
Phone (310) 694-4711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of California, Geffen School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1305 York Ave
Suite 9
New York, NY 10021-5663
Phone (646) 962-3376
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 23 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weill Medical College of Cornell | Dermatology | Current | Accepting new patients |
| Weill Medical College of Cornell | Current | Accepting new patients | |
| Weill Medical College of Cornell | Dermatology | Current | Accepting new patients |
| Cornell University Medical College | Past | Accepting new patients |
Locations
186 Joralemon St
Brooklyn Heights, NY 11201
Phone (718) 852-1400
525 E 68th St
New York, NY 10065
Phone (212) 746-2846
1305 York Ave
#9
New York, NY 10021
Phone (646) 962-3376
1305 York Ave
Fl 9
New York, NY 10021
Phone (646) 962-3376
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- akeyes841427@nychhc.direct-ci.com
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- New York, NY
- NPI 1124170212
Dermatology
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1144729385
-
dba Wcumc Dermatology GRP.
- Dermatology Physician
- New York, NY
- NPI 1699723296
-
- Psychologist
- White Plains, NY
- NPI 1528084910
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba New York Presbyterian Hospital
- General Acute Care Hospital
- New York, NY
- NPI 1144504044
-
dba New York-Presbyterian Hospital
- Ambulance
- New York, NY
- NPI 1174628473
Hospital
-
dba NewYork-Presbyterian Hospital
- General Acute Care Hospital
- New York, NY
- NPI 1194832477
-
- General Acute Care Hospital
- Bronxville, NY
- NPI 1780196345
-
dba New York-Presbyterian Hospital
- General Acute Care Hospital
- New York, NY
- NPI 1952332801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727827200000",
"number": "1841589785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10533 LE CONTE AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900243305",
"telephone_number": "310-694-4711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 E 149TH ST # 8A",
"city": "BRONX",
"state": "NY",
"postal_code": "104515504",
"telephone_number": "718-579-6151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "ASHLEY",
"middle_name": "KEYES",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-31",
"last_updated": "2024-10-02",
"certification_date": "2024-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NY",
"license": "267656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.