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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 04, 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, and ordering and referring status from the CMS PECOS system.

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.

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.

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 14 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.