DR. NOAM JACOB M.D.
NPI 1609142603
Student in an Organized Health Care Education/Training Program in New York, NY

Active since March 24, 2012PECOS Enrolled
17 E 102ND ST, 7TH FLOOR #1087, NEW YORK, NY 10029(212) 659-8551 Get Directions Write a Review

NPPES record last updated: March 24, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Noam Jacob M.d. NPPES

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

DR. NOAM JACOB M.D. (NPI 1609142603) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609142603
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. NOAM JACOBCredential: M.D.
Location Address17 E 102ND ST, 7TH FLOOR #1087New York, NY 10029-5204
Mailing Address17 E 102nd St, 7th Floor #1087New York, NY 10029-5204 · (212) 659-8551
Sole ProprietorNo
Enumeration DateMarch 24, 2012
NPI 1609142603 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.
17 E 102ND ST, New York, NY 10029

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Noam Jacob M.d. 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 20

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

Internal Medicine
17 E 102ND ST
NEW YORK, NY 10029
Internal Medicine (Infectious Disease)
17 E 102ND ST
NEW YORK, NY 10029
Nurse Practitioner (Family)
17 E 102ND ST
NEW YORK, NY 10029
Internal Medicine (Rheumatology)
17 E 102ND ST
NEW YORK, NY 10029
Internal Medicine
17 E 102ND ST
NEW YORK, NY 10029
Nurse Practitioner (Family)
17 E 102ND ST
NEW YORK, NY 10029
Internal Medicine
17 E 102ND ST
NEW YORK, NY 10029
Internal Medicine
17 E 102ND ST
NEW YORK, NY 10029

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 Noam Jacob's NPI number?

The NPI number for Noam Jacob is 1609142603. It was assigned to this individual provider in the NPPES registry on March 24, 2012.

Where is Noam Jacob located?

Noam Jacob practices at 17 E 102nd St 7th Floor #1087, New York, NY 10029. The listed phone number is (212) 659-8551.

What is Noam 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 Noam Jacob enrolled in Medicare?

Yes. Noam Jacob is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Noam Jacob was last updated on March 24, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.