JANE JACOB MD, MPH
NPI 1194466011
Student in an Organized Health Care Education/Training Program in New York, NY

Active since April 05, 2022PECOS EnrolledAccepts Medicare Assignment
130 E 77TH ST FL 6, NEW YORK, NY 10075(212) 434-4763 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jane Jacob Md, Mph NPPES

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

JANE JACOB MD, MPH (NPI 1194466011) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Phelps Hospital, and is a graduate of Rutgers, Robert Woood Johnson Medical School (2022).

NPPES Registry Identity

NPI1194466011
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJANE JACOBCredential: MD, MPH
Location Address130 E 77TH ST FL 6New York, NY 10075-1851
Mailing Address130 E 77th St Fl 6New York, NY 10075-1851 · (212) 434-4763
Sole ProprietorNo
Medical School CMSRutgers, Robert Woood Johnson Medical SchoolGraduated 2022
Enumeration DateApril 5, 2022
NPPES CertifiedApril 4, 2022
NPI 1194466011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
130 E 77TH ST FL 6, New York, NY 10075

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jane Jacob Md, Mph is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668981663
PECOS Enrollment IDI20250602001647
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Phelps Hospital

Acute Care Hospitals · Sleepy Hollow, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330261
Location701 N BroadwaySleepy Hollow, NY 10591 · Westchester County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
130 E 77TH ST FL 6
NEW YORK, NY 10075
Student in an Organized Health Care Education/Training Program
130 E 77TH ST FL 6
NEW YORK, NY 10075
Student in an Organized Health Care Education/Training Program
130 E 77TH ST FL 6
NEW YORK, NY 10075
Student in an Organized Health Care Education/Training Program
130 E 77TH ST FL 6
NEW YORK, NY 10075
Student in an Organized Health Care Education/Training Program
130 E 77TH ST FL 6
NEW YORK, NY 10075
Student in an Organized Health Care Education/Training Program
130 E 77TH ST FL 6
NEW YORK, NY 10075
Dermatology
130 E 77TH ST FL 6
NEW YORK, NY 10075
Internal Medicine
130 E 77TH ST FL 6
NEW YORK, NY 10075

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 Jane Jacob's NPI number?

The NPI number for Jane Jacob is 1194466011. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Jane Jacob located?

Jane Jacob practices at 130 E 77th St Fl 6, New York, NY 10075. The listed phone number is (212) 434-4763.

What is Jane Jacob's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jane Jacob enrolled in Medicare?

Yes. Jane Jacob is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jane Jacob affiliated with any hospitals?

According to CMS data, Jane Jacob is affiliated with Phelps Hospital.

When was this NPI record last updated?

The NPPES record for Jane Jacob was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.