Paul Eric Jacobsen, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS4671 Issued in FL

Practice address

152 NE 167TH St
Suite 102
North Miami Beach, FL 33162-3400

Phone

(305) 945-5437

Fax

(305) 945-0173

NPI assigned

Jun 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Paul E Jacobsen

  • Family Medicine Physician
  • North Miami Beach, FL
  • NPI 1932594256
  NPD (past) Authorized official
• Alix Charles, DPM, PA

  • Foot Surgery Podiatrist
  • Plantation, FL
  • NPI 1538498126
  NPD (past)
• Lester de Leon MD PA

  • General Practice Physician
  • Miami, FL
  • NPI 1164796090
  NPD (past)
• Total Health Complance Group Inc

  • General Practice Physician
  • N Miami Beach, FL
  • NPI 1528258696
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982631404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 NE 167TH ST",
            "address_2": "SUITE 102",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623400",
            "telephone_number": "305-945-5437",
            "fax_number": "305-945-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 NE 167TH ST",
            "address_2": "SUITE 102",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623400",
            "telephone_number": "305-945-5437",
            "fax_number": "305-945-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSEN",
        "first_name": "PAUL",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS4671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J Harris Levy MD PA
• J.Shalom Choice of Living, Enterprises
• Rivka Jablon
• Kamiah D Jackson
• Danielle Jacobs, LMHC
• Jacqueline Salazar MD PA
• Nadege Salomon Jacques, ARNP
• Roger Charles David Jacques, A.R.N.P.
• Doles Jadotte, PHD
• Marjorie Jadotte

• Family Medicine Physician in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.