JEFFREY JACOBSON, M.D., P.C.
NPI 1174135115
Plastic Surgery in Hawthorne, NY

Active since August 20, 2020
19 BRADHURST AVE, SUITE 2900 S, HAWTHORNE, NY 10532(914) 421-0123(888) 381-4542 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 13, 2025, May 20, 2022, Aug 20, 2020 (3 updates tracked since 2020).

About Jeffrey Jacobson, M.d., P.c. NPPES

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

JEFFREY JACOBSON, M.D., P.C. (NPI 1174135115) is a healthcare organization registered as a plastic surgery in Hawthorne, New York and active in the NPI registry since August 2020. The organization lists Jeffrey Jacobson, President, as its authorized official.

NPPES Registry Identity

NPI1174135115
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameJEFFREY JACOBSON, M.D., P.C.
Location Address19 BRADHURST AVE, SUITE 2900 SHawthorne, NY 10532
Mailing Address107 N Greeley Ave # 84Chappaqua, NY 10514 · (914) 421-0123 · Fax (888) 381-4542
Fax(888) 381-4542
Organization SubpartNo
Authorized OfficialJeffrey JacobsonPresident · (914) 421-0123
Enumeration DateAugust 20, 2020
Last NPPES UpdateMay 13, 20253 updates tracked since enumeration
NPPES CertifiedMay 13, 2025
✔ NPI 1174135115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Also ListedPlastic Surgery · Surgery of the HandTaxonomy 2082S0105X
19 BRADHURST AVE, Hawthorne, NY 10532

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Jeffrey Jacobson, M.d., P.c. 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 Jeffrey Jacobson, M.D., P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Plastic and Reconstructive Surgery
NPI 1588812820
19 BRADHURST AVE SUITE 2900 S
Hawthorne, NY 10532
(914) 421-0123
✔ PECOSSame address

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

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 Jeffrey Jacobson, M.D., P.C.'s NPI number?

The NPI number for Jeffrey Jacobson, M.D., P.C. is 1174135115. It was assigned to this organization in the NPPES registry on August 20, 2020.

Where is Jeffrey Jacobson, M.D., P.C. located?

Jeffrey Jacobson, M.D., P.C. is located at 19 Bradhurst Ave Suite 2900 S, Hawthorne, NY 10532. The listed phone number is (914) 421-0123.

What is Jeffrey Jacobson, M.D., P.C.'s specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Jeffrey Jacobson, M.D., P.C. enrolled in Medicare?

Yes. Jeffrey Jacobson, M.D., P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jeffrey Jacobson, M.D., P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Jeffrey Jacobson, M.D., P.C.. 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.

When was this NPI record last updated?

The NPPES record for Jeffrey Jacobson, M.D., P.C. was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.