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JEREMIAH JACOB TOM MD
NPI 1235814781
Student in an Organized Health Care Education/Training Program in Rochester, NY

Active since June 21, 2023PECOS Enrolled
1561 LONG POND RD STE 206, ROCHESTER, NY 14626(585) 368-4800(585) 368-4815 Get Directions Write a Review

NPPES record last updated: June 21, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jeremiah Jacob Tom Md NPPES

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

JEREMIAH JACOB TOM MD (NPI 1235814781) is an individual student in an organized health care education/training program in Rochester, New York and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1235814781
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJEREMIAH JACOB TOMCredential: MD
Location Address1561 LONG POND RD STE 206Rochester, NY 14626-4135
Mailing Address1561 Long Pond Rd Ste 206Rochester, NY 14626-4135 · (585) 368-4800 · Fax (585) 368-4815
Phone(585) 368-4800
Fax(585) 368-4815
Sole ProprietorNo
Enumeration DateJune 21, 2023
NPPES CertifiedJune 21, 2023
✔ NPI 1235814781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
1561 LONG POND RD STE 206, Rochester, NY 14626
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Secondary Practice Location 1

Location 11555 Long Pond RdRochester, NY 14626-4164 · Phone (585) 723-7000 · Fax (585) 723-7834

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeremiah Jacob Tom 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.

Other Providers at the Same Location NPPES 3

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

YASIR LOAI MD
Internal Medicine
1561 LONG POND RD STE 206
ROCHESTER, NY 14626
Monroe County (585) 368-4800
ZENA ALI SADIK AL-HITI MD
Student in an Organized Health Care Education/Training Program
1561 LONG POND RD STE 206
ROCHESTER, NY 14626
Monroe County (585) 368-4800
OMER AHMED MD
Student in an Organized Health Care Education/Training Program
1561 LONG POND RD STE 206
ROCHESTER, NY 14626
Monroe County (585) 368-4800

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 Jeremiah Tom's NPI number?

The NPI number for Jeremiah Tom is 1235814781. It was assigned to this individual provider in the NPPES registry on June 21, 2023.

Where is Jeremiah Tom located?

Jeremiah Tom practices at 1561 Long Pond Rd Ste 206, Rochester, NY 14626. The listed phone number is (585) 368-4800.

What is Jeremiah Tom's specialty?

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

Is Jeremiah Tom enrolled in Medicare?

Yes. Jeremiah Tom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeremiah Tom was last updated on June 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.