Cosmetic Surgery of New York PC
NPI 1124229562ActiveOrganization· Specialist· Port Jefferson Station, NY
Specialist in Port Jefferson Station, New York, registered in NPPES in May 2007. The authorized official on file is Robert Alan Jacobs, M.D., Surgeon. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1124229562 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 31, 2007 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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All 99 Specialist providers in Port Jefferson Station · All Specialist providers in New York