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HENRY ELI JACOBS MD NPI 1356350789


NPI Information

NPI: 1356350789
Provider Name: HENRY ELI JACOBS, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1 NORTHWESTERN DR
SUITE 202
BLOOMFIELD, CT
ZIP 06002
Phone: (860) 233-8589
Get Directions

Henry Eli Jacobs, MD is an obstetrics gynecology in Bloomfield, CT. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Henry Eli Jacobs, MD NPI is 1356350789. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1 NORTHWESTERN DR
SUITE 202
BLOOMFIELD, CT
ZIP 06002-400
Phone: (860) 233-8589
Fax: (860) 236-9636

The NPI 1356350789 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/5/2006 and was last updated on 12/31/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & Gynecology017368CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1052270OTHERCONNECTICUTHEALTH NET
2001173681MEDICAIDCONNECTICUT
30029111OTHERCONNECTICUTAETNA US HEALTHCARE
4030810OTHERCONNECTICUTCONNECTICARE
5010017368CT01OTHERCONNECTICUTBLUE SHIELD
6HAP255OTHERCONNECTICUTOXFORD
701017368OTHERCONNECTICUTCIGNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.