JEFFEY JACOB PHYSICIAN ASSISTANT
NPI 1609159227
Physician Assistant - Medical in Brooklyn, NY

Active since September 20, 2011PECOS Enrolled
4802 10TH AVE, BROOKLYN, NY 11219(718) 283-6000 Get Directions Write a Review

NPPES record last updated: September 20, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeffey Jacob Physician Assistant NPPES

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

JEFFEY JACOB PHYSICIAN ASSISTANT (NPI 1609159227) is an individual medical provider in Brooklyn, New York, licensed in New York (015096) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609159227
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJEFFEY JACOBCredential: PHYSICIAN ASSISTANT
Location Address4802 10TH AVEBrooklyn, NY 11219-2916
Mailing Address114 Hillwood LnPlainview, NY 11803-3120 · (516) 426-7651
Sole ProprietorYes
Enumeration DateSeptember 20, 2011
NPI 1609159227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NY · 015096
4802 10TH AVE, Brooklyn, NY 11219

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jeffey Jacob Physician Assistant 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.

Legal Medicine
4802 10TH AVE
BROOKLYN, NY 11219
Nurse Practitioner (Psychiatric/Mental Health)
4802 10TH AVE
BROOKLYN, NY 11219
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Nurse Practitioner (Family)
4802 10TH AVE, PRE-TESTING
BROOKLYN, NY 11219
Internal Medicine (Infectious Disease)
4802 10TH AVE
BROOKLYN, NY 11219

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 Jeffey Jacob's NPI number?

The NPI number for Jeffey Jacob is 1609159227. It was assigned to this individual provider in the NPPES registry on September 20, 2011.

Where is Jeffey Jacob located?

Jeffey Jacob practices at 4802 10th Ave, Brooklyn, NY 11219. The listed phone number is (718) 283-6000.

What is Jeffey Jacob's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jeffey Jacob enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jeffey Jacob was last updated on September 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.