DR. RONALD IRWIN JACOBSON MD NPI 1164519120

NPI Information

NPI: 1164519120
Provider Name: DR. RONALD IRWIN JACOBSON, MD
Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Individual

Specialization: Neurology with Special Qualifications in Child Neurology

Address:
755 NORTH BROADWAY
MEDICAL SERVICES BUILDING SUITE 540
SLEEPY HOLLOW, NY
ZIP 10591
Phone: (914) 358-0190
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DR. Ronald Irwin Jacobson, MD is a neurology with special qualifications in child neurology psychiatry neurology in Sleepy Hollow, NY. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. DR. Ronald Irwin Jacobson, MD NPI is 1164519120. 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:

755 NORTH BROADWAY
MEDICAL SERVICES BUILDING SUITE 540
SLEEPY HOLLOW, NY
ZIP 10591
Phone: (914) 358-0190
Fax: (914) 358-0199

The enumeration date for this NPI number is 10/9/2006 and was last updated on 4/18/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0402X	Psychiatry & Neurology	Neurology with Special Qualifications in Child Neurology	157834	NEW YORK	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	00854357	MEDICAID	NEW YORK
2	23D151	MEDICARE PIN	NEW YORK
3	A61368	MEDICARE UPIN

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: 11/14/2023

NPI Synchronization or Removal

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