Jacobs Radiology PLLC
NPI 1255866372ActiveOrganization· Phlebology· Rockville Centre, NY
Phlebology in Rockville Centre, New York, registered in NPPES in April 2017. The authorized official on file is David T. Jacobs, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1255866372 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 26, 2017 |
| Last updated in NPPES | Dec 31, 2020 |
| Certified by provider | Dec 31, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Phlebology Primary | 202K00000X | — | — |
| Radiology, Diagnostic Radiology | 2085R0202X | 257302-1 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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