DR. AMANDA MCNEAR JACOBS M.D.
NPI 1003016411
Pediatrics - Adolescent Medicine in Bronx, NY
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
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).
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.
BRONX, NY 10467
BRONX, NY 10467
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.
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 14 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.
# Dr. Amanda Mcnear Jacobs, M.D. · NPI 1003016411
Adolescent Medicine physician in Bronx, New York. Individual provider, active in the CMS NPPES registry since July 23, 2007.
## Identity
- **NPI:** 1003016411 (Entity type: Individual)
- **Enumerated:** July 23, 2007
- **Primary specialty:** Pediatrics - Adolescent Medicine · taxonomy 2080A0000X
- **State license:** 218283 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 111 E 210TH ST, DEPARTMENT OF PEDIATRICS, Bronx, NY 10467-2401
- **Phone:** (718) 920-2306
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** October 12, 2011
---
Source: [NPI Profile](https://npiprofile.com/npi/1003016411) · Data from the CMS NPPES public registry.