MARK NATHAN JACOBSON DDS
NPI 1144313271
Dentist - Periodontics in New York, NY

Q: What is Mark Jacobson's NPI number?

The NPI number for Mark Jacobson is 1144313271. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Q: What is Mark Jacobson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: When was this NPI record last updated?

The NPPES record for Mark Jacobson was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 02, 2006PECOS Enrolled

211 E 43RD ST, #1304, NEW YORK, NY 10017(212) 697-3946 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mark Nathan Jacobson Dds NPPES

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

MARK NATHAN JACOBSON DDS (NPI 1144313271) is an individual periodontics provider in New York, New York, licensed in New York (036139) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144313271

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameMARK NATHAN JACOBSONCredential: DDS

Location Address211 E 43RD ST, #1304New York, NY 10017-4707

Mailing Address211 E 43rd St, #1304New York, NY 10017-4707

Phone(212) 697-3946

Sole ProprietorYes

Enumeration DateOctober 2, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1144313271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in NY · 036139

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

211 E 43RD ST, New York, NY 10017

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Nathan Jacobson Dds 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 10017 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

$102.04 typical visit price

range $65.69 – $198.19

Typical copayment $25.51 (range $16.42 – $49.54)

Most-billed visit code 99203

Established Patient

$81.44 typical visit price

range $21.20 – $160.66

Typical copayment $20.36 (range $5.30 – $40.16)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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