DR. JEFFREY MICHAEL JACOBSON M.D. NPI 1861446874

NPI Information

NPI: 1861446874
Provider Name: DR. JEFFREY MICHAEL JACOBSON, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
411 CANISTEO ST
HORNELL, NY
ZIP 14843
Phone: (607) 324-8255
Get Directions

DR. Jeffrey Michael Jacobson, M.D. is a diagnostic radiology radiology in Hornell, NY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Jeffrey Michael Jacobson, M.D. NPI is 1861446874. 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:

411 CANISTEO ST
HORNELL, NY
ZIP 14843-104
Phone: (607) 324-8255
Fax: (607) 324-8774

The NPI 1861446874 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 5/22/2006 and was last updated on 7/9/2007.

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	2085R0202X	Radiology	Diagnostic Radiology	168781-1	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	Other Provider Identifier Issuer
1	178209FF	OTHER	NEW YORK	PREFERRED CARE
2	7226804	OTHER	NEW YORK	AETNA
3	E93013	MEDICARE UPIN	NEW YORK
4	198781	OTHER	NEW YORK	GREAT WEST LICENSE #
5	10820256	OTHER	NEW YORK	CAQH
6	000929320001	OTHER	NEW YORK	HEALTHNOW
7	01718249	MEDICAID	NEW YORK
8	RA9447	MEDICARE PIN	NEW YORK

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

NPI Synchronization or Removal

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