JACOB JACOBY MD PHD
NPI 1790347243
Clinic/Center - Multi-Specialty in Suffern, NY

Q: What is Jacob Jacoby MD's NPI number?

The NPI number for Jacob Jacoby MD is 1790347243. It was assigned to this organization in the NPPES registry on July 5, 2019. The provider is doing business as Jacob Jacoby MD Phd.

Q: What is Jacob Jacoby MD's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Jacoby MD was last updated on July 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since July 05, 2019

100 ROUTE 59 STE 103, SUFFERN, NY 10901(718) 362-8184(718) 362-1651 Get Directions Write a Review

NPPES record last updated: July 5, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Jacob Jacoby Md Phd NPPES

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

JACOB JACOBY MD PHD (NPI 1790347243) is a healthcare organization registered as a multi-specialty in Suffern, New York and active in the NPI registry since July 2019. The organization lists Jacob Jacoby, Owner, as its authorized official.

NPPES Registry Identity

NPI1790347243

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameJACOB JACOBY MD

Location Address100 ROUTE 59 STE 103Suffern, NY 10901-4927

Mailing Address612 Corporate Way Ste 2mValley Cottage, NY 10989-2027 · (718) 362-8184 · Fax (718) 362-1651

Phone(718) 362-8184

Fax(718) 362-1651

Organization SubpartNo

Authorized OfficialJacob JacobyOwner · (718) 362-8184

Enumeration DateJuly 5, 2019

✔ NPI 1790347243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

100 ROUTE 59 STE 103, Suffern, NY 10901

Open in Google Maps ↗

Other Names 1

Doing Business AsJacob Jacoby Md Phd

Other Identifiers 1

Medicaid02327411NY

Other Providers at the Same Location NPPES 4

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

DAPHNEE FROMENTIN-ROYSTER LMSW

Social Worker (Clinical)

100 ROUTE 59 STE 103
SUFFERN, NY 10901

Rockland County (854) 697-0000

JACOB H JACOBY MEDICAL PC

Psychologist (Clinical Child & Adolescent)

100 ROUTE 59 STE 103
SUFFERN, NY 10901

Rockland County (845) 697-0000

RACHEL BERGER MSW

Social Worker (Clinical)

100 ROUTE 59 STE 103
SUFFERN, NY 10901

Rockland County (854) 697-0000

MAUREEN A TOWEY LMSW

Social Worker (Clinical)

100 ROUTE 59 STE 103
SUFFERN, NY 10901

Rockland County (854) 697-0000

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 Jacob Jacoby MD's NPI number?

The NPI number for Jacob Jacoby MD is 1790347243. It was assigned to this organization in the NPPES registry on July 5, 2019. The provider is doing business as Jacob Jacoby MD Phd.

Where is Jacob Jacoby MD located?

Jacob Jacoby MD is located at 100 Route 59 Ste 103, Suffern, NY 10901. The listed phone number is (718) 362-8184.

What is Jacob Jacoby MD's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Jacob Jacoby MD was last updated on July 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.