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DR. AMANDA MCNEAR JACOBS M.D.
NPI 1003016411
Pediatrics - Adolescent Medicine in Bronx, NY

Active since July 23, 2007PECOS Enrolled
111 E 210TH ST, DEPARTMENT OF PEDIATRICS, BRONX, NY 10467(718) 920-2306 Get Directions Write a Review

NPPES record last updated: October 12, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Amanda Mcnear Jacobs M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. AMANDA MCNEAR JACOBS M.D. (NPI 1003016411) is an individual adolescent medicine provider in Bronx, New York, licensed in New York (218283) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003016411
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameDR. AMANDA MCNEAR JACOBSCredential: M.D.
Location Address111 E 210TH ST, DEPARTMENT OF PEDIATRICSBronx, NY 10467-2401
Mailing Address111 E. 211 StBronx, NY 10467 · (718) 920-2306 · Fax (718) 920-5289
Phone(718) 920-2306
Sole ProprietorNo
Enumeration DateJuly 23, 2007
Last NPPES UpdateOctober 12, 2011
✔ NPI 1003016411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in NY · 218283
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
111 E 210TH ST, Bronx, NY 10467
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Amanda Mcnear Jacobs M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Amanda Jacobs reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Montefiore Medical Center
0.1 mi
Anesthesiology
111 E 210TH ST
Bronx, NY 10467
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
NPI 1063525152 (914) 378-6021
Boston Children's Health Physicians, LLP
14 mi
Pediatrics
19 SKYLINE DR OFC 1N-D06
Hawthorne, NY 10532
  • Reassigned Medicare billing, New York enrollment
  • 511 clinicians in this Medicare group
NPI 1467454967 (914) 594-2100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEATHER ROOT MD
Internal Medicine (Infectious Disease)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-8592
MICHAEL GOTTESMAN M.D.
Radiology (Diagnostic Neuroimaging)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-5506
JIAE LEE M.D.
Psychiatry & Neurology (Neurology)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
DR. MICHELLE DOMINIQUE PINTEA MD
Pediatrics
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
TELISHA MCLEAN
Nurse Practitioner (Family)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
SHIVADITYA CHOUDHURY
Anesthesiology
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
MS. JOHANNA SHEA-FEN TAN
Student in an Organized Health Care Education/Training Program
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
JACK DANIEL HALLIGAN MD
Pediatrics
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Jacobs's NPI number?

The NPI number for Amanda Jacobs is 1003016411. It was assigned to this individual provider in the NPPES registry on July 23, 2007.

Where is Amanda Jacobs located?

Amanda Jacobs practices at 111 E 210th St Department Of Pediatrics, Bronx, NY 10467. The listed phone number is (718) 920-2306.

What is Amanda Jacobs's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Amanda Jacobs enrolled in Medicare?

Yes. Amanda Jacobs is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Amanda Jacobs's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Jacobs reassigns Medicare benefits to 2 organizations: Montefiore Medical Center (Bronx, NY) and Boston Children's Health Physicians, LLP (Hawthorne, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Jacobs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amanda Jacobs was last updated on October 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.