DR. AMANDA MCNEAR JACOBS M.D. NPI 1003016411

Pediatrics (Adolescent Medicine) in Bronx, NY

NPI 1003016411 Individual Female Pediatrics Adolescent Medicine PECOS Enrolled

NPI Profile for DR. AMANDA MCNEAR JACOBS M.D.

Amanda Jacobs is a pediatrician established in Bronx, New York and her medical specialization is pediatrics (adolescent medicine) . The NPI number of Amanda Jacobs is 1003016411 and was assigned on July 2007. The practitioner's primary taxonomy code is 2080A0000X with license number 218283 (NY). The provider is registered as an individual and her NPI record was last updated 11 years ago.

A pediatrician like Dr. Amanda Mcnear Jacobs M.d. is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Amanda Jacobs is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices..

Amanda Jacobs is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1003016411

Provider NameDR. AMANDA MCNEAR JACOBS M.D.
Provider Location Address111 E 210TH ST DEPARTMENT OF PEDIATRICS BRONX, NY 10467
Provider Mailing Address111 E. 211 ST BRONX, NY 10467
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date07-23-2007
Last Update Date10-12-2011


Primary Taxonomy

Taxonomy Code2080A0000X
ClassificationPediatrics
TypeAllopathic & Osteopathic Physicians
SpecializationAdolescent Medicine
License No.218283
License StateNY
Taxonomy DescriptionA 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.

Business Address

DR. AMANDA MCNEAR JACOBS M.D.
111 E 210TH ST
DEPARTMENT OF PEDIATRICS
BRONX, NY
ZIP 10467
Phone: (718) 920-2306

Get Directions


Mailing Address

DR. AMANDA MCNEAR JACOBS M.D.
111 E. 211 ST
BRONX, NY
ZIP 10467
Phone: (718) 920-2306
Fax: (718) 920-5289



PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

NPI Validation Check Digit Calculation


The following table explains step by step the NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003016411
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003011242
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 1 + 2 + 4 + 2 + 24 = 39
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
40 - 39 = 11

The NPI number 1003016411 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1083619373MS. CALETHA DICKS CRNA
Individual
Nurse Anesthetist, Certified Registered111 E 210TH ST
BRONX, NY 10467
(718) 920-4316
1346248960DR. LEONARD FREEMAN MD
Individual
Nuclear Medicine111 E 210TH ST
BRONX, NY 10467
(718) 920-6060
1407856255 PING ZHOU MD
Individual
Pediatrics (Pediatric Endocrinology)111 E 210TH ST
BRONX, NY 10467
(718) 920-4664
1386644193DR. RICHARD HERBERT SAVEL MD
Individual
Internal Medicine (Critical Care Medicine)111 E 210TH ST MONTEFIORE MEDICAL CENTER
BRONX, NY 10467
(718) 920-5443
1750376919DR. THOMAS B PERERA M.D.
Individual
Emergency Medicine111 E 210TH ST
BRONX, NY 10467
(718) 920-6626
1912993106DR. FRED SMITH M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)111 E 210TH ST MONTEFIORE MED CTR DEPT PATHOLOGY
BRONX, NY 10467
(718) 920-4976
1457347486DR. SEYMOUR SOLOMON M.D.
Individual
Psychiatry & Neurology (Neurology)111 E 210TH ST
BRONX, NY 10467
(718) 920-4203
1952371908 KAYANN WILSON
Individual
Nurse Practitioner (Adult Health)111 E 210TH ST
BRONX, NY 10467
(718) 920-7738
1558332007 HENRY M USHAY MD
Individual
Pediatrics111 E 210TH ST ROSENTHAL 4
BRONX, NY 10467
(718) 741-2463
1326005554 BENJAMIN TARAGIN MD
Individual
Radiology (Pediatric Radiology)111 E 210TH ST DEPT OF RADIOLOGY
BRONX, NY 10467
(718) 920-4848
1215995477DR. ANDREA MARIE PORROVECCHIO MD
Individual
Internal Medicine111 E 210TH ST NW6
BRONX, NY 10467
(718) 920-3822
1396798096 SARAH BELLEMARE M.D.
Individual
Surgery111 E 210TH ST ROSENTHAL 2
BRONX, NY 10467
(718) 920-5926
1013964469DR. JONATHAN PHILIP LEVINE M.D.
Individual
Ophthalmology111 E 210TH ST DEPT OF OPHTHALMOLOGY
BRONX, NY 10467
(718) 920-2020
1417994724DR. ALINA O. DULU M.D.
Individual
Anesthesiology (Critical Care Medicine)111 E 210TH ST
BRONX, NY 10467
(212) 774-1873
1245274364DR. PAUL RISKA MD
Individual
Internal Medicine (Infectious Disease)111 E 210TH ST
BRONX, NY 10467
(718) 920-6494
1407885205 ENVER AKALIN M.D.
Individual
Internal Medicine (Nephrology)111 E 210TH ST MONTEFIORE MEDICAL CENTER
BRONX, NY 10467
(718) 920-4815
1295765618 GITIT TOMER M.D.
Individual
General Acute Care Hospital (Children)111 E 210TH ST
BRONX, NY 10467
(718) 741-2332
1619990306 ANDREW K CHANG M.D.
Individual
Emergency Medicine111 E 210TH ST EMERGENCY DEPARTMENT
BRONX, NY 10467
(718) 920-7674
1467461665DR. YELENA AVERBUKH M.D.
Individual
Internal Medicine111 E 210TH ST
BRONX, NY 10467
(718) 920-7270
1386657146MRS. JAMIE R MCKAY RN
Individual
Registered Nurse111 E 210TH ST
BRONX, NY 10467
(718) 920-7329

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Dr. Amanda Mcnear Jacobs M.d. is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.