Active NPI
Michael Ira Jacobs, MD
- Procedural Dermatology Physician
- New York, NY
National Provider Identifier
1992786313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Procedural Dermatology Physician
- License
- 134716
- Practice address
- 407 E 70TH St
New York, NY 10021-5302 - Phone
- (212) 772-7190
- Fax
- (212) 396-1698
- NPI assigned
- Nov 11, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 134716 | NY | |
| Procedural Dermatology Physician | 207NS0135X | 134716 | NY | Primary |
Addresses
Primary practice location
407 E 70TH St
New York, NY 10021-5302
Mailing address
407 E 70TH St
New York, NY 10021-5302
Phone (212) 772-7190
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 2, 2024 through Jan 2, 2028
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- JS Weill Medical College, Cornell University, 1977
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
407 E 70TH St
New York, NY 10021-5327
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1992786313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 E 70TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100215302",
"telephone_number": "212-772-7190",
"fax_number": "212-396-1698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 E 70TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100215302",
"telephone_number": "212-772-7190",
"fax_number": "212-396-1698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "MICHAEL",
"middle_name": "IRA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-11",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NY",
"license": "134716",
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "NY",
"license": "134716",
"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 Sep 11, 2025; 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; Opt Out Affidavits.
- 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.