Individual provider Active NPI

Adam Jacobs, M.D.

  • Obstetrics & Gynecology Physician
  • New York, NY
National Provider Identifier
1902829047
Registry record updated May 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
206684 Issued in NY
Practice address
1176 5TH Ave
E Level
New York, NY 10029-6503
Phone
(212) 659-8557
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 206684 NY Primary

Addresses

Primary practice location

1176 5TH Ave
E Level
New York, NY 10029-6503

Mailing address

5 E 98TH St
Box 1170
New York, NY 10029-6501
Phone (212) 659-8557

Other identifiers 1

IdentifierTypeStateIssuer
01828422MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040909000107 NY Practitioner - Obstetrics/Gynecology 3870569080 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bronxcare Health System CurrentSince Sep 29, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Aug 1, 2012 Accepting new patients
Icahn School of Medicine at Mount Sinai Obstetrics & Gynecology CurrentSince Aug 1, 2012 Accepting new patients
Bronxcare Health System Current Accepting new patients
Planned Parenthood of Greater New York Inc CurrentSince Mar 11, 2021 Accepting new patients
Bronxcare Health System CurrentSince Sep 29, 2016 Accepting new patients
Mount Sinai School of Medicine of New York University Obstetrics & Gynecology Past Accepting new patients
Planned Parenthood of the Southern Finger Lakes Inc. Past Accepting new patients

Locations

3251 Westchester Ave
Bronx, NY 10461
Phone (718) 792-7600

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

44 Court St
Fl 6
Brooklyn, NY 11201
Phone (718) 852-6879

13620 38th Ave
Ste 6E
Flushing, NY 11354
Phone (718) 353-7701

2141 45th Rd
Long Island City, NY 11101
Phone (212) 965-7000

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

1176 5th Ave
Fl 2
New York, NY 10029

5 E 98th St
#1170
New York, NY 10029
Phone (212) 241-7575

1176 5th Ave
#1170
New York, NY 10029
Phone (212) 241-8578

5 E 98th St
Fl 2
New York, NY 10029
Phone (212) 241-6551

26 Bleecker St
Prince, NY 10012
Phone (212) 274-7226

543 Bay Rd
Queensbury, NY 12804
Phone (518) 761-2663

Networks

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

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274745600000",
    "number": "1902829047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 E 98TH ST",
            "address_2": "BOX 1170",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296501",
            "telephone_number": "212-659-8557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1176 5TH AVE",
            "address_2": "E LEVEL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296503",
            "telephone_number": "212-659-8557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "ADAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2010-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "206684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01828422",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.