JENNIE Z JACOB PHYSICIAN ASSISTANT
NPI 1255695003
Physician Assistant in Setauket, NY
About Jennie Z Jacob Physician Assistant NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIE Z JACOB PHYSICIAN ASSISTANT (NPI 1255695003) is an individual physician assistant in Setauket, New York, licensed in New York (015645) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
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
Jennie Z Jacob Physician Assistant 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Suny/Stony Brook University Hospital
Acute Care Hospitals · Stony Brook, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11733 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
EAST SETAUKET, NY 11733
EAST SETAUKET, NY 11733
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 Jennie Jacob's NPI number?
The NPI number for Jennie Jacob is 1255695003. It was assigned to this individual provider in the NPPES registry on June 26, 2012.
Where is Jennie Jacob located?
Jennie Jacob practices at 24 Research Way, Setauket, NY 11733. The listed phone number is (631) 444-6270.
What is Jennie Jacob's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Jennie Jacob enrolled in Medicare?
Yes. Jennie 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 Jennie Jacob affiliated with any hospitals?
According to CMS data, Jennie Jacob is affiliated with Suny/Stony Brook University Hospital.
When was this NPI record last updated?
The NPPES record for Jennie Jacob was last updated on March 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Jennie Z Jacob, PHYSICIAN ASSISTANT · NPI 1255695003
Physician Assistant physician in Setauket, New York. Individual provider, active in the CMS NPPES registry since June 26, 2012.
## Identity
- **NPI:** 1255695003 (Entity type: Individual)
- **Enumerated:** June 26, 2012
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 015645 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 24 RESEARCH WAY, Setauket, NY 11733-3487
- **Phone:** (631) 444-6270 · **Fax:** (631) 444-7620
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** March 18, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1255695003) · Data from the CMS NPPES public registry.