Active NPIIndividual provider

Jason Jacobson, MD

Internal Medicine, Clinical Cardiac Electrophysiology in Hawthorne, New York

NPI Number1588684260
Practice location
19 Bradhurst Ave, Suite 3850S, Hawthorne, NY 10532-2140
Fax
914-493-2828
Last updated
November 29, 2021

Jason Jacobson is an Internal Medicine, Clinical Cardiac Electrophysiology based in Hawthorne, NY. Jason Jacobson practices in Hawthorne, NY and has the professional credentials of MD. The NPI Number for Jason Jacobson is 1588684260 and holds a License No. 215349 (NY). The current practice location address for Jason Jacobson is 19 Bradhurst Ave, Suite 3850S, Hawthorne, NY 10532-2140 and can be reached out via phone at 914-909-6900 and via fax at 914-493-2828.

Provider Profile Details

NPI Number
1588684260
Provider Name
Jason Jacobson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
19 Bradhurst Ave, Suite 3850S, Hawthorne, NY 10532-2140
Phone Number
914-909-6900
Fax Number
914-493-2828
Sole Proprietor
No
Provider Enumeration Date
July 19, 2006
Last Update Date
November 29, 2021
Certification Date
November 29, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
19 Bradhurst Ave
Suite 3850S
Hawthorne, NY 10532-2140
Zip
10532-2140
Phone Number
914-909-6900
Fax Number
914-493-2828
Hawthorne, NY 10532Get directions →

Provider Business Mailing Address Details

Address
19 Bradhurst Ave Ste 3100N
Hawthorne, NY 10532-2140
City
Hawthorne
State
NY
Zip
10532-2140
Phone Number
914-909-9018
Fax Number
914-909-9028

License Information

License Number (1)
215349
License State (1)
NY
License Number (2)
036-115096
License State (2)
IL
License Number (3)
036-115096
License State (3)
IL
License Number (4)
215349
License State (4)
NY
Taxonomy (4)
Internal Medicine, Clinical Cardiac Electrophysiology · 207RC0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jason Jacobson, MD?

The NPI number of Jason Jacobson, MD is 1588684260. It was assigned on July 19, 2006 and is currently active in the NPPES registry.

What is the specialty of Jason Jacobson, MD?

Jason Jacobson, MD is registered under the primary taxonomy Internal Medicine, Clinical Cardiac Electrophysiology (code 207RC0001X), licensed in NY under license number 215349.

Where does Jason Jacobson, MD practice?

The practice location is 19 Bradhurst Ave, Suite 3850S, Hawthorne, NY 10532-2140. The office can be reached at 914-909-6900 (phone) or 914-493-2828 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1588684260 directly on the NPPES registry website.

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