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DR. ELIZABETH PULIKKOTTIL JACOB MD
NPI 1134378136
Pediatrics in New City, NY

Active since September 15, 2008PECOS Enrolled
365 S MAIN ST STE 1, NEW CITY, NY 10956(845) 499-2339 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Elizabeth Pulikkottil Jacob Md NPPES

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

DR. ELIZABETH PULIKKOTTIL JACOB MD (NPI 1134378136) is an individual pediatrics provider in New City, New York, licensed in New York (250158) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1134378136
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. ELIZABETH PULIKKOTTIL JACOBCredential: MD
Location Address365 S MAIN ST STE 1New City, NY 10956-3061
Mailing Address365 S Main St Ste 1New City, NY 10956-3061 · (845) 499-2339
Phone(845) 499-2339
Sole ProprietorYes
Enumeration DateSeptember 15, 2008
Last NPPES UpdateJuly 9, 2025
NPPES CertifiedJuly 9, 2025
✔ NPI 1134378136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 250158
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
365 S MAIN ST STE 1, New City, NY 10956
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Secondary Practice Location 1

Location 1111 E 210th StBronx, NY 10467-2401 · Phone (718) 920-4321

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Elizabeth Jacob reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Montefiore New Rochelle Hospital
15 mi
General Acute Care Hospital
100 CORPORATE DR, PROVIDER INFORMATION
Yonkers, NY 10701
  • Reassigned Medicare billing, New York enrollment
  • 211 clinicians in this Medicare group
NPI 1295163244 (914) 377-4722
East Post Road Medical Services PC
15 mi
Emergency Medicine
41 E POST RD
White Plains, NY 10601
  • Reassigned Medicare billing, New York enrollment
  • 479 clinicians in this Medicare group
NPI 1841767274 (914) 681-1210
Montefiore Medical Center
21 mi
Anesthesiology
111 E 210TH ST
Bronx, NY 10467
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
NPI 1063525152 (914) 378-6021

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 10956 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Elizabeth Jacob's NPI number?

The NPI number for Elizabeth Jacob is 1134378136. It was assigned to this individual provider in the NPPES registry on September 15, 2008.

Where is Elizabeth Jacob located?

Elizabeth Jacob practices at 365 S Main St Ste 1, New City, NY 10956. The listed phone number is (845) 499-2339.

What is Elizabeth Jacob's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Elizabeth Jacob enrolled in Medicare?

Yes. Elizabeth Jacob is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Elizabeth Jacob's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Jacob reassigns Medicare benefits to 3 organizations: Montefiore New Rochelle Hospital (Yonkers, NY), East Post Road Medical Services PC (White Plains, NY) and Montefiore Medical Center (Bronx, NY). 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 Elizabeth Jacob's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elizabeth Jacob was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.