John Eric Jacoby, MD PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

109045 Issued in NY

Legal business name

JOHN ERIC JACOBY, MD PC

Doing business as

Metro Med

Practice address

466 Main St
New Rochelle, NY 10801-6431

Phone

(914) 633-1020

NPI assigned

Apr 5, 2011

Organization subpart

No

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

Authorized official

Name

Dr. John Eric Jacoby, M.D.NPI 1790853778

Title

Owner/President

Phone

(914) 633-1020

Specialties & licenses 1

Addresses

Other names 1

• Metro Med Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Tax ID family

John Eric Jacoby MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• John Eric Jacoby MD PC

  • General Practice Physician
  • New Rochelle, NY
  • NPI 1134379571
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Eric Jacoby, MD

  • General Practice Physician
  • New Rochelle, NY
  • NPI 1790853778
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1972892529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 MAIN ST",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108016431",
            "telephone_number": "914-633-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 MAIN ST",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108016431",
            "telephone_number": "914-633-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN ERIC JACOBY, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-05",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "JACOBY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "914-633-1020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "NY",
            "license": "109045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Med",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sean D Jessamy, D.D.S
• Jill P. Altman, M.D., P.C.
• Pauline Jirik-Babb, PH.D.
• Joel G. Greenspan, M.D. PC
• John Eric Jacoby MD PC
• John Jude Shlimoun Physical Therapy, PLLC
• Wesley Rachel Johnson-Klein, LCAT, BC-DMT
• Davonnia Johnson
• Donald Johnson
• Donna Johnson

• General Practice Physician in New Rochelle, NY
• Providers in New Rochelle, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.