1. Home
  2. Directory
  3. New York
  4. Amenia
  5. Dentist
  6. NPI Profile

DR. SUSANNA JACOB D.D.S
NPI 1851775563
Dentist in Amenia, NY

Active since July 13, 2015PECOS Enrolled
3360 ROUTE 343, AMENIA, NY 12501(845) 838-7038 Get Directions Write a Review

NPPES record last updated: February 5, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Susanna Jacob D.d.s NPPES

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

DR. SUSANNA JACOB D.D.S (NPI 1851775563) is an individual dentist in Amenia, New York, licensed in New York (058297-1) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851775563
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. SUSANNA JACOBCredential: D.D.S
Location Address3360 ROUTE 343Amenia, NY 12501-5619
Mailing Address3360 Route 343Amenia, NY 12501-5619 · (845) 838-7038
Phone(845) 838-7038
Sole ProprietorNo
Enumeration DateJuly 13, 2015
Last NPPES UpdateFebruary 5, 2016
✔ NPI 1851775563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NY · 058297-1
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3360 ROUTE 343, Amenia, NY 12501
Open in Google Maps ↗

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. Susanna Jacob D.d.s 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 12501 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
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$76.88 typical visit price
range $19.92 – $151.94
Typical copayment $19.22 (range $4.98 – $37.98)
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 13

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

STEFANIE J. LINDAHL M.D.
Psychiatry & Neurology (Psychiatry)
3360 ROUTE 343, HUDSON RIVER HEALTHCARE, INC.
AMENIA, NY 12501
Dutchess County (845) 373-9006
ROBERT DWECK M.D.
Family Medicine
3360 ROUTE 343, HUDSON RIVER HEALTHCARE, INC.
AMENIA, NY 12501
Dutchess County (845) 373-9006
LISA ANN STRAUS M.D.
Family Medicine
3360 ROUTE 343, HUDSON RIVER HEALTHCARE, INC.
AMENIA, NY 12501
Dutchess County (845) 373-9006
RACHEL PERLMUTTER TANTRI A.R.N.P.
Nurse Practitioner (Family)
3360 ROUTE 343, HUDSON RIVER HEALTH CARE
AMENIA, NY 12501
Dutchess County (845) 373-9006
ELIZABETH ANNE WILLIS LCSWR
Social Worker (Clinical)
3360 ROUTE 343, HUDSON RIVER HEALTHCARE, INC.
AMENIA, NY 12501
Dutchess County (845) 838-7038
DERIK E STUCKER DDS
Dentist
3360 ROUTE 343, HUDSON RIVER HEALTHCARE, INC.
AMENIA, NY 12501
Dutchess County (845) 838-7038
ABRAHAM YOUNG M.D.
Family Medicine
3360 ROUTE 343, HUDSON RIVER HEALTH CARE
AMENIA, NY 12501
Dutchess County (845) 838-7038
SUN RIVER HEALTH INC
Clinic/Center (Federally Qualified Health Center (FQHC))
3360 ROUTE 343, HUDSON RIVER HEALTHCARE, INC.
AMENIA, NY 12501
Dutchess County (845) 373-9006

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 Susanna Jacob's NPI number?

The NPI number for Susanna Jacob is 1851775563. It was assigned to this individual provider in the NPPES registry on July 13, 2015.

Where is Susanna Jacob located?

Susanna Jacob practices at 3360 Route 343, Amenia, NY 12501. The listed phone number is (845) 838-7038.

What is Susanna Jacob's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Susanna Jacob enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Susanna Jacob was last updated on February 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.