REENA JACOB MD
NPI 1114969458
Internal Medicine in New City, NY

Q: What is Internal Medicine Of Rockland PLLC's NPI number?

The NPI number for Internal Medicine Of Rockland PLLC is 1114969458. It was assigned to this organization in the NPPES registry on June 12, 2006. The provider is doing business as Reena Jacob MD.

Q: What is Internal Medicine Of Rockland PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since June 12, 2006CLIA 33D1045644 · Waiver

20 SQUADRON BLVD, SUITE 350, NEW CITY, NY 10956(845) 634-4567(845) 634-4564 Get Directions Write a Review

NPPES record last updated: August 8, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Reena Jacob Md NPPES

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

REENA JACOB MD (NPI 1114969458) is a healthcare organization registered as an internal medicine in New City, New York and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through September 19, 2027 and lists Reena J Jacob, Owner, as its authorized official.

NPPES Registry Identity

NPI1114969458

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameINTERNAL MEDICINE OF ROCKLAND PLLC

Location Address20 SQUADRON BLVD, SUITE 350New City, NY 10956-5200

Mailing Address20 Squadron Blvd, Suite 350New City, NY 10956-5200 · (845) 634-4567 · Fax (845) 634-4564

Phone(845) 634-4567

Fax(845) 634-4564

Organization SubpartNo

Authorized OfficialReena J JacobOwner · (845) 634-4567

Enumeration DateJune 12, 2006

Last NPPES UpdateAugust 8, 2008

✔ NPI 1114969458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

20 SQUADRON BLVD, New City, NY 10956

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Other Names 1

Doing Business AsReena Jacob Md

Other Identifiers 3

Medicaid02148603NY

Medicare ID-Type UnspecifiedWDW921NY

Medicare UPINH34396NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Reena Jacob Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Reena Jacob MD, which bills Medicare for the services this clinician delivers.

Clinician (1)

Reena Jacob, MD

Internal Medicine

NPI 1720015746

20 SQUADRON BLVD SUITE 350
New City, NY 10956

(845) 634-4567

✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D1045644

Internal Medicine Of Rockland PLLC · New City, NY

Active · expires Sep 19, 2027

CLIA Number33D1045644

Laboratory TypePhysician Office

Certificate Effective DateSeptember 20, 2025

Certificate Expiration DateSeptember 19, 2027

Laboratory DirectorDr. Reena J. Jacob

Laboratory Phone(845) 634-4567

Laboratory LocationInternal Medicine Of Rockland PLLC16 Squadron Blvd, Suite 103, New City, NY 10956

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Internal Medicine Of Rockland PLLC's NPI number?

The NPI number for Internal Medicine Of Rockland PLLC is 1114969458. It was assigned to this organization in the NPPES registry on June 12, 2006. The provider is doing business as Reena Jacob MD.

Where is Internal Medicine Of Rockland PLLC located?

Internal Medicine Of Rockland PLLC is located at 20 Squadron Blvd Suite 350, New City, NY 10956. The listed phone number is (845) 634-4567.

What is Internal Medicine Of Rockland PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Internal Medicine Of Rockland PLLC enrolled in Medicare?

Yes. Internal Medicine Of Rockland PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Internal Medicine Of Rockland PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Internal Medicine Of Rockland PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Internal Medicine Of Rockland PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1045644) is associated with this NPI, valid through September 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Internal Medicine Of Rockland PLLC was last updated on August 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.