Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. SAMUEL DAVID JACOBSON MD
NPI 1255912002
Psychiatry & Neurology - Neurology in Philadelphia, PA

Active since April 14, 2021
3401 N BROAD ST, PHILADELPHIA, PA 19140(215) 707-3040 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 17, 2026, Apr 14, 2021 (2 updates tracked since 2021).

About Dr. Samuel David Jacobson Md NPPES

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

DR. SAMUEL DAVID JACOBSON MD (NPI 1255912002) is an individual neurology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD489677) and active in the NPI registry since April 2021. He maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1255912002
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. SAMUEL DAVID JACOBSONCredential: MD
Location Address3401 N BROAD STPhiladelphia, PA 19140-5103
Mailing Address3509 N Broad StPhiladelphia, PA 19140-4105
Sole ProprietorNo
Enumeration DateApril 14, 2021
Last NPPES UpdateSeptember 17, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2026
NPI 1255912002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in PA · MD489677
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
3401 N BROAD ST, Philadelphia, PA 19140

Secondary Practice Location 1

Location 1710 W 168th StNew York, NY 10032-3726 · Phone (212) 305-2500

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.

Internal Medicine
3401 N BROAD ST
PHILADELPHIA, PA 19140
Surgery
3401 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine
3401 N BROAD ST
PHILADELPHIA, PA 19140
Anesthesiology
3401 N BROAD ST
PHILADELPHIA, PA 19140
Surgery
3401 N BROAD ST
PHILADELPHIA, PA 19140
Radiology (Diagnostic Radiology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Radiology (Radiation Oncology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine (Pulmonary Disease)
3401 N BROAD ST, 812 PARKINSON PAVILION
PHILADELPHIA, PA 19140

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 Samuel Jacobson's NPI number?

The NPI number for Samuel Jacobson is 1255912002. It was assigned to this individual provider in the NPPES registry on April 14, 2021.

Where is Samuel Jacobson located?

Samuel Jacobson practices at 3401 N Broad St, Philadelphia, PA 19140. The listed phone number is (215) 707-3040.

What is Samuel Jacobson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Samuel Jacobson was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.