LILY JACOBS
NPI 1649038423
Physician Assistant - Medical in Brooklyn, NY
About Lily Jacobs NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LILY JACOBS (NPI 1649038423) is an individual medical provider in Brooklyn, New York, licensed in New York (031584) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.
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 (PECOS)
Lily Jacobs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
BROOKLYN, NY 11203
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 Lily Jacobs's NPI number?
The NPI number for Lily Jacobs is 1649038423. It was assigned to this individual provider in the NPPES registry on March 7, 2024.
Where is Lily Jacobs located?
Lily Jacobs practices at 451 Clarkson Ave, Brooklyn, NY 11203. The listed phone number is (718) 245-3131.
What is Lily Jacobs's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Lily Jacobs enrolled in Medicare?
Yes. Lily Jacobs is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Lily Jacobs was last updated on March 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Lily Jacobs · NPI 1649038423
Medical physician in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since March 7, 2024.
## Identity
- **NPI:** 1649038423 (Entity type: Individual)
- **Enumerated:** March 7, 2024
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 031584 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 451 CLARKSON AVE, Brooklyn, NY 11203-2054
- **Phone:** (718) 245-3131
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 7, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1649038423) · Data from the CMS NPPES public registry.