1. Home
  2. Directory
  3. New York
  4. New York New York
  5. Psychiatry Neurology
  6. NPI Profile

JOHN WILLIAM JACOBS MD
NPI 1750483517
Psychiatry & Neurology - Psychiatry in New York, NY

Active since September 02, 2006Opted out of Medicare · through Jul 1, 2028
180 EAST 79TH STREET, 1D, NEW YORK, NY 10021(212) 570-5043(212) 570-0349 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About John William Jacobs Md NPPES

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

JOHN WILLIAM JACOBS MD (NPI 1750483517) is an individual psychiatry provider in New York, New York, licensed in New York (MD106582) and active in the NPI registry since September 2006. He has opted out of Medicare through July 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1750483517
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameJOHN WILLIAM JACOBSCredential: MD
Location Address180 EAST 79TH STREET, 1DNew York, NY 10021
Mailing Address180 East 79th Street, 1dNew York, NY 10021 · (212) 570-5043 · Fax (212) 570-0349
Phone(212) 570-5043
Fax(212) 570-0349
Sole ProprietorNo
Enumeration DateSeptember 2, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1750483517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NY · MD106582
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
180 EAST 79TH STREET, New York, NY 10021
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

John William Jacobs Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2014 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2014
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

CAMILO T UY MD
Internal Medicine (Cardiovascular Disease)
180 EAST 79TH STREET
NEW YORK, NY 10021
New York County (212) 535-7610

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 John Jacobs's NPI number?

The NPI number for John Jacobs is 1750483517. It was assigned to this individual provider in the NPPES registry on September 2, 2006.

Where is John Jacobs located?

John Jacobs practices at 180 East 79th Street 1D, New York, NY 10021. The listed phone number is (212) 570-5043.

What is John Jacobs's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is John Jacobs enrolled in Medicare?

No. John Jacobs has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for John Jacobs was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.