Active NPI
Jeremy Daniel Jacobson, MD
- Cardiovascular Disease Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 285218
- Practice address
- 158 E 84TH St
New York, NY 10028-2005 - Phone
- (212) 535-6340
- Fax
- (212) 535-2618
- NPI assigned
- Apr 3, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 285218 | NY | Primary |
Addresses
Primary practice location
158 E 84TH St
New York, NY 10028-2005
Mailing address
158 E 84TH St
New York, NY 10028-2005
Phone (212) 535-6340
Other practice location 1
210 E 68th St Apt 10F
New York, NY 10065-6025
Phone (301) 233-5578
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171011003130 | NY | Practitioner - Cardiovascular Disease (Cardiology) | 0143595454 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 E 77TH St
New York, NY 10075-1850
Phone (212) 434-2140
Hospital & facility affiliations
- Phelps Hospital
- Northern Westchester Hospital
- Long Island Jewish Medical Center
- Lenox Hill Hospital
- White Plains Hospital Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 285218 | NY | MD | Cardiovascular Disease Physician |
Practice roles (1 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Cardiovascular Disease | Current | Accepting new patients |
Locations
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
400 E Main St
Mount Kisco, NY 10549
Phone (914) 666-1200
100 E 77th St
New York, NY 10075
Phone (212) 434-2606
158 E 84th St
New York, NY 10028
Phone (212) 535-6340
300 Community Dr
Plandome, NY 11030
701 N Broadway
Sleepy Hollow, NY 10591
Phone (914) 366-3140
972 Brush Hollow Rd
Westbury, NY 11590
2649 Strang Blvd
Ste 305
Yorktown Heights, NY 10598
Phone (914) 721-8900
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- jjacobson64473@northwell.direct-ci.com
Organizations & group practices 1
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.
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
Cardiovascular Disease, NY
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Hyde Park, NY
- NPI 1285641514
Hospital
-
- Medicare Defined Swing Bed Hospital Unit
- Mount Kisco, NY
- NPI 1396178356
Hospital
-
- General Acute Care Hospital
- Mount Kisco, NY
- NPI 1912992215
Hospital
-
- General Acute Care Hospital
- Sleepy Hollow, NY
- NPI 1720185267
Hospital
-
- General Acute Care Hospital
- White Plains, NY
- NPI 1447255153
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584662400000",
"number": "1992048474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "158 E 84TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100282005",
"telephone_number": "212-535-6340",
"fax_number": "212-535-2618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "158 E 84TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100282005",
"telephone_number": "212-535-6340",
"fax_number": "212-535-2618"
}
],
"practiceLocations": [
{
"address_1": "210 E 68th St Apt 10F",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100656025",
"country_code": "US",
"telephone_number": "301-233-5578",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACOBSON",
"first_name": "JEREMY",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-03",
"last_updated": "2020-03-20",
"certification_date": "2020-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "285218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; 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.