SOUTH SHORE VEIN AND IMAGE-GUIDED MEDICINE
NPI 1255866372
Phlebology in Rockville Centre, NY
About South Shore Vein And Image-guided Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH SHORE VEIN AND IMAGE-GUIDED MEDICINE (NPI 1255866372) is a healthcare organization registered as a phlebology in Rockville Centre, New York and active in the NPI registry since April 2017. The organization lists David T Jacobs, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
South Shore Vein And Image-guided Medicine 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 South Shore Vein And Image-Guided Medicine, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Jacobs Radiology PLLC's NPI number?
The NPI number for Jacobs Radiology PLLC is 1255866372. It was assigned to this organization in the NPPES registry on April 26, 2017. The provider is doing business as South Shore Vein And Image-Guided Medicine.
Where is Jacobs Radiology PLLC located?
Jacobs Radiology PLLC is located at 24 Maple Ave Ste 2, Rockville Centre, NY 11570. The listed phone number is (516) 865-1234.
What is Jacobs Radiology PLLC's specialty?
The primary specialty registered for this NPI is Phlebology with taxonomy code 202K00000X.
Is Jacobs Radiology PLLC enrolled in Medicare?
Yes. Jacobs Radiology PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jacobs Radiology PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Diagnostic Radiology) reassigns their Medicare billing to Jacobs Radiology PLLC. 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 Jacobs Radiology PLLC was last updated on December 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.