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DR. MARIANN C. JACOB M.D.
NPI 1811301799
Pediatrics in New York, NY

Active since June 18, 2014PECOS Enrolled
430 EAST 34TH STREET, NEW YORK, NY 10016(866) 733-7698(212) 562-6019 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 9, 2023, Oct 3, 2019, Mar 1, 2016 (3 updates tracked since 2016).

About Dr. Mariann C. Jacob M.d. NPPES

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

DR. MARIANN C. JACOB M.D. (NPI 1811301799) is an individual pediatrics provider in New York, New York, licensed in New York (316056) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811301799
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. MARIANN C. JACOBCredential: M.D.
Location Address430 EAST 34TH STREETNew York, NY 10016
Mailing Address432 Argyle RdMineola, NY 11501-1014 · (847) 208-3277
Phone(866) 733-7698
Fax(212) 562-6019
Sole ProprietorNo
Enumeration DateJune 18, 2014
Last NPPES UpdateMarch 19, 20243 updates tracked since enumeration
NPPES CertifiedMarch 19, 2024
✔ NPI 1811301799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in NY · 316056✔ Licensed in WI · 62609-20✔ Licensed in IL · 036.35602
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedHospitalistTaxonomy 208M00000X · License 62609 (WI)
430 EAST 34TH STREET, New York, NY 10016
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Other Identifiers 2

Medicaid07137497NY
Medicaid1811301799WI

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. Mariann C. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Mariann Jacob's NPI number?

The NPI number for Mariann Jacob is 1811301799. It was assigned to this individual provider in the NPPES registry on June 18, 2014.

Where is Mariann Jacob located?

Mariann Jacob practices at 430 East 34th Street, New York, NY 10016. The listed phone number is (866) 733-7698.

What is Mariann Jacob's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mariann Jacob enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mariann Jacob was last updated on March 19, 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.