Steven D Jacobs, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

039714 Issued in NY

Practice address

214 Stanhope St
Brooklyn, NY 11237-4202

Phone

(718) 574-0527

NPI assigned

Oct 7, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458259200000",
    "number": "1942298625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13774 70TH RD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113671930",
            "telephone_number": "718-380-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 STANHOPE ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112374202",
            "telephone_number": "718-574-0527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "STEVEN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2016-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "039714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01016884",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Norma Nickole Jacobs, R.N.
• Rebecca Jacobs
• Sarah Jacobs
• Sarah Jacobs
• Stethanie Ann Jacobs, PA-C
• Tanisha Jacobs, LPN
• Tehran Jamaal Jacobs
• Yekuciel Jacobs
• Elka E. Jacobson, MD
• Eric Jacobson, ATR-BC, LCAT

• General Practice Dentistry in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.