DR. LAURIE G JACOBS MD
NPI 1093890865
Internal Medicine - Geriatric Medicine in Bronx, NY
About Dr. Laurie G Jacobs Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LAURIE G JACOBS MD (NPI 1093890865) is an individual geriatric medicine provider in Bronx, New York, licensed in New Jersey (25MA09916100) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Laurie G Jacobs Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Laurie Jacobs reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 689 clinicians in this Medicare group
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 2,844 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10467 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BRONX, NY 10467
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 Laurie Jacobs's NPI number?
The NPI number for Laurie Jacobs is 1093890865. It was assigned to this individual provider in the NPPES registry on October 27, 2006.
Where is Laurie Jacobs located?
Laurie Jacobs practices at Medical Arts Pavilion 3400 Bainbridge Avenue, Bronx, NY 10467. The listed phone number is (866) 633-8255.
What is Laurie Jacobs's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.
Is Laurie Jacobs enrolled in Medicare?
Yes. Laurie Jacobs is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Laurie Jacobs's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Laurie Jacobs reassigns Medicare benefits to 2 organizations: Hackensack Meridian Health Medical Group - Primary Care PC (Red Bank, NJ) and Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). 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 Laurie Jacobs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Laurie Jacobs accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Laurie Jacobs as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Laurie Jacobs was last updated on December 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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. Laurie G Jacobs, MD · NPI 1093890865
Geriatric Medicine physician in Bronx, New York. Individual provider, active in the CMS NPPES registry since October 27, 2006.
## Identity
- **NPI:** 1093890865 (Entity type: Individual)
- **Enumerated:** October 27, 2006
- **Primary specialty:** Internal Medicine - Geriatric Medicine · taxonomy 207RG0300X
- **State license:** 25MA09916100 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** MEDICAL ARTS PAVILION, 3400 BAINBRIDGE AVENUE, Bronx, NY 10467
- **Phone:** (866) 633-8255
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Hackensack Meridian Health Medical Group - Primary Care PC (NPI 1336203538, Red Bank, NJ); Hackensack Meridian Health Medical Group - Specialty Care PC (NPI 1215989249, Red Bank, NJ) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 9, 2016
- **Other identifiers:** Medicaid 0530328 (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1093890865) · Data from the CMS NPPES public registry.