DR. AMANDA MCNEAR JACOBS M.D. NPI 1003016411
Pediatrics (Adolescent Medicine) in Bronx, NY
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 Name | DR. AMANDA MCNEAR JACOBS M.D. |
Provider Location Address | 111 E 210TH ST DEPARTMENT OF PEDIATRICS BRONX, NY 10467 |
Provider Mailing Address | 111 E. 211 ST BRONX, NY 10467 |
Gender | Female |
NPI Entity Type | Individual |
Is Sole Proprietor? | No |
Is Organization Subpart? | N/A |
Enumeration Date | 07-23-2007 |
Last Update Date | 10-12-2011 |
Primary Taxonomy
Taxonomy Code | 2080A0000X |
Classification | Pediatrics |
Type | Allopathic & Osteopathic Physicians |
Specialization | Adolescent Medicine |
License No. | 218283 |
License State | NY |
Taxonomy Description | 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. |
Business Address
DR. AMANDA MCNEAR JACOBS M.D.
111 E 210TH ST
DEPARTMENT OF PEDIATRICS
BRONX, NY
ZIP 10467
Phone: (718) 920-2306
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 Imaging | Yes |
Eligible order / refer Durable Medical Equipment | Yes |
Eligible order / refer Home Health Agency (HHA) | Yes |
Eligible order / refer Power Mobility Devices | Yes |
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. | |||||||||
1 | 0 | 0 | 3 | 0 | 1 | 6 | 4 | 1 | 1 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 0 | 0 | 3 | 0 | 1 | 12 | 4 | 2 | |
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 = 1 | 1 |
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 |
---|---|---|---|
1083619373 | MS. CALETHA DICKS CRNA Individual | Nurse Anesthetist, Certified Registered | 111 E 210TH ST BRONX, NY 10467 (718) 920-4316 |
1346248960 | DR. LEONARD FREEMAN MD Individual | Nuclear Medicine | 111 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 |
1386644193 | DR. RICHARD HERBERT SAVEL MD Individual | Internal Medicine (Critical Care Medicine) | 111 E 210TH ST MONTEFIORE MEDICAL CENTER BRONX, NY 10467 (718) 920-5443 |
1750376919 | DR. THOMAS B PERERA M.D. Individual | Emergency Medicine | 111 E 210TH ST BRONX, NY 10467 (718) 920-6626 |
1912993106 | DR. 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 |
1457347486 | DR. 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 | Pediatrics | 111 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 |
1215995477 | DR. ANDREA MARIE PORROVECCHIO MD Individual | Internal Medicine | 111 E 210TH ST NW6 BRONX, NY 10467 (718) 920-3822 |
1396798096 | SARAH BELLEMARE M.D. Individual | Surgery | 111 E 210TH ST ROSENTHAL 2 BRONX, NY 10467 (718) 920-5926 |
1013964469 | DR. JONATHAN PHILIP LEVINE M.D. Individual | Ophthalmology | 111 E 210TH ST DEPT OF OPHTHALMOLOGY BRONX, NY 10467 (718) 920-2020 |
1417994724 | DR. ALINA O. DULU M.D. Individual | Anesthesiology (Critical Care Medicine) | 111 E 210TH ST BRONX, NY 10467 (212) 774-1873 |
1245274364 | DR. 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 Medicine | 111 E 210TH ST EMERGENCY DEPARTMENT BRONX, NY 10467 (718) 920-7674 |
1467461665 | DR. YELENA AVERBUKH M.D. Individual | Internal Medicine | 111 E 210TH ST BRONX, NY 10467 (718) 920-7270 |
1386657146 | MRS. JAMIE R MCKAY RN Individual | Registered Nurse | 111 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.