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PJACOBY, LLC
NPI 1912242520
Emergency Medicine in Woodbury, CT

Active since December 07, 2012
167 SPRAIN BROOK RD, WOODBURY, CT 06798(203) 709-6079 Get Directions Write a Review

NPPES record last updated: April 21, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Pjacoby, Llc NPPES

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

PJACOBY, LLC (NPI 1912242520) is a healthcare organization registered as an emergency medicine in Woodbury, Connecticut and active in the NPI registry since December 2012. The organization lists Peter Jacoby, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1912242520
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NamePJACOBY, LLC
Location Address167 SPRAIN BROOK RDWoodbury, CT 06798-1914
Mailing Address167 Sprain Brook RdWoodbury, CT 06798-1914
Phone(203) 709-6079
Organization SubpartNo
Authorized OfficialPeter JacobySole Member · (203) 709-6079
Enumeration DateDecember 7, 2012
Last NPPES UpdateApril 21, 2015
✔ NPI 1912242520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CT · 0198781
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
167 SPRAIN BROOK RD, Woodbury, CT 06798
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pjacoby, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Pjacoby, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Peter Jacoby, MD
Emergency Medicine
NPI 1457377228
56 FRANKLIN ST
Waterbury, CT 06706
(203) 709-6004
✔ PECOS✔ Accepts Medicare11 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Pjacoby, LLC's NPI number?

The NPI number for Pjacoby, LLC is 1912242520. It was assigned to this organization in the NPPES registry on December 7, 2012.

Where is Pjacoby, LLC located?

Pjacoby, LLC is located at 167 Sprain Brook Rd, Woodbury, CT 06798. The listed phone number is (203) 709-6079.

What is Pjacoby, LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Pjacoby, LLC enrolled in Medicare?

Yes. Pjacoby, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pjacoby, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Emergency Medicine) reassigns their Medicare billing to Pjacoby, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pjacoby, LLC was last updated on April 21, 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.