DR. JORDAN M.S. JACOBS M.D.
NPI 1881852564
Plastic Surgery in Tarrytown, NY

Q: What is Jordan Jacobs's NPI number?

The NPI number for Jordan Jacobs is 1881852564. It was assigned to this individual provider in the NPPES registry on May 29, 2008.

Q: What is Jordan Jacobs's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Jacobs was last updated on January 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 May 29, 2008PECOS EnrolledAccepts Medicare Assignment

155 WHITE PLAINS RD, SUITE 109, TARRYTOWN, NY 10591(914) 366-6139(866) 780-6139 Get Directions Write a Review

NPPES record last updated: January 15, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Jordan M.s. Jacobs M.d. NPPES

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

DR. JORDAN M.S. JACOBS M.D. (NPI 1881852564) is an individual plastic surgery provider in Tarrytown, New York, licensed in New York (248057) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai Hospital, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2005).

NPPES Registry Identity

NPI1881852564

Entity TypeIndividualMale

Primary Taxonomy208200000X

Provider Legal NameDR. JORDAN M.S. JACOBSCredential: M.D.

Location Address155 WHITE PLAINS RD, SUITE 109Tarrytown, NY 10591-5523

Mailing Address155 White Plains Rd, Suite 109Tarrytown, NY 10591-5523

Phone(914) 366-6139

Fax(866) 780-6139

Sole ProprietorNo

Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2005

Enumeration DateMay 29, 2008

Last NPPES UpdateJanuary 15, 2015

✔ NPI 1881852564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in NY · 248057

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

155 WHITE PLAINS RD, Tarrytown, NY 10591

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Other Identifiers 2

Medicare UPING82630NY

Medicaid03466075NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jordan M.s. Jacobs M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325297880

PECOS Enrollment IDI20120927000552

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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mount Sinai Hospital

Acute Care Hospitals · New York, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330024

LocationOne Gustave L Levy PlaceNew York, NY 10029 · New York County

Emergency services Birthing friendly

Mount Sinai Beth Israel

Acute Care Hospitals · New York, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330169

LocationFirst Avenue At 16th StreetNew York, NY 10003 · New York County

Emergency services

St John's Riverside Hospital

Acute Care Hospitals · Yonkers, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330208

Location976 North BroadwayYonkers, NY 10701 · Westchester County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10591 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

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 20

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

KIMBERLY L SMITH, DPT

Physical Therapist

155 WHITE PLAINS RD
TARRYTOWN, NY 10591

Westchester County (914) 333-2404

REBEKAH LAUREN WALLACH DPT

Physical Therapist

155 WHITE PLAINS RD, SUITE 102
TARRYTOWN, NY 10591

Westchester County (914) 333-2403

PRISCILLA FORDJOUR AGYEMANG MD

Internal Medicine

155 WHITE PLAINS RD
TARRYTOWN, NY 10591

Westchester County (914) 366-0500

LIANA GREER MD

Family Medicine

155 WHITE PLAINS RD
TARRYTOWN, NY 10591

Westchester County (914) 366-0500

LAUREN DALAL DPT

Physical Therapist

155 WHITE PLAINS RD
TARRYTOWN, NY 10591

Westchester County (212) 305-3535

MARTIN FLORIMON

Psychologist (Clinical Child & Adolescent)

155 WHITE PLAINS RD
TARRYTOWN, NY 10591

Westchester County (914) 631-4618

MRS. MARSHA NICOLE MARIANI COCOZZA LCSW

Social Worker (Clinical)

155 WHITE PLAINS RD
TARRYTOWN, NY 10591

Westchester County (914) 586-2778

TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK

Durable Medical Equipment & Medical Supplies

155 WHITE PLAINS RD, SUITE 105, EAST WING
TARRYTOWN, NY 10591

Westchester County (212) 305-5974

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 Jordan Jacobs's NPI number?

The NPI number for Jordan Jacobs is 1881852564. It was assigned to this individual provider in the NPPES registry on May 29, 2008.

Where is Jordan Jacobs located?

Jordan Jacobs practices at 155 White Plains Rd Suite 109, Tarrytown, NY 10591. The listed phone number is (914) 366-6139.

What is Jordan Jacobs's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Jordan Jacobs enrolled in Medicare?

Yes. Jordan Jacobs is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jordan Jacobs affiliated with any hospitals?

According to CMS data, Jordan Jacobs is affiliated with Mount Sinai Hospital, Mount Sinai Beth Israel and St John's Riverside Hospital.

When was this NPI record last updated?

The NPPES record for Jordan Jacobs was last updated on January 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.