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DR. JACOB H JACOBY MD PHD
NPI 1174648232
Psychiatry & Neurology - Psychiatry in Bayonne, NJ

Active since March 20, 2007Opted out of Medicare · through Dec 30, 2027
654 AVE C, SUITE 201, BAYONNE, NJ 07002(201) 339-0323(201) 339-0349 Get Directions Write a Review

NPPES record last updated: June 16, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jacob H Jacoby Md Phd NPPES

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

DR. JACOB H JACOBY MD PHD (NPI 1174648232) is an individual psychiatry provider in Bayonne, New Jersey, licensed in New Jersey (46259) and active in the NPI registry since March 2007. He has opted out of Medicare through December 30, 2027 and remains eligible to order and refer and is a graduate of State University Of New York At Buffalo School Of Medicine (1980).

NPPES Registry Identity

NPI1174648232
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. JACOB H JACOBYCredential: MD PHD
Location Address654 AVE C, SUITE 201Bayonne, NJ 07002
Mailing Address654 Ave C, Suite 201Bayonne, NJ 07002 · (201) 339-0323 · Fax (201) 339-0349
Phone(201) 339-0323
Fax(201) 339-0349
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1980
Enumeration DateMarch 20, 2007
Last NPPES UpdateJune 16, 2010
✔ NPI 1174648232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in NJ · 46259✔ Licensed in NY · 156653-1
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X · License 46259 (NJ), 156653-1 (NY)
654 AVE C, Bayonne, NJ 07002
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Other Identifiers 3

Other088BV1NY · Medicare
Medicare UPINE58672
Medicare ID-Type UnspecifiedJA511806NJ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jacob H Jacoby Md Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 30, 2025 through December 30, 2027.

Opt-Out Effective DateDecember 30, 2025
Opt-Out In Effect ThroughDecember 30, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
948 services159 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
736 services149 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
138 services34 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
22 services13 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07002 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
$190.92 typical visit price
range $63.84 – $190.92
Typical copayment $47.73 (range $15.96 – $47.73)
Most-billed visit code 99205
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

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 Jacob Jacoby's NPI number?

The NPI number for Jacob Jacoby is 1174648232. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Where is Jacob Jacoby located?

Jacob Jacoby practices at 654 Ave C Suite 201, Bayonne, NJ 07002. The listed phone number is (201) 339-0323.

What is Jacob Jacoby's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Jacob Jacoby enrolled in Medicare?

No. Jacob Jacoby has opted out of Medicare through December 30, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jacob Jacoby was last updated on June 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.