Brian Jacob, MD - Surgery in New York, NY

Brian Jacob, MD is a Surgery physician based in New York, New York. Brian Jacob is licensed to practice in New York (license number 219514) and his current practice location is 1010 5th Ave, Laparoscopic Surgical Center, New York, New York. He can be reached at his office (for appointments etc.) via phone at (212) 879-6677.

NPI number for Brian Jacob is 1023084779 and his current mailing address is 1010 5th Ave, Laparoscopic Surgery Center, New York, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1023084779.

Contact Information

Brian Jacob, MD
1010 5th Ave, Laparoscopic Surgical Center,
New York, NY 10028-0130
(212) 879-6677
(212) 650-9981



Physician's Profile

Full NameBrian Jacob
GenderMale
SpecialitySurgery
Location1010 5th Ave, New York, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1023084779
  • Provider Enumeration Date: 02/23/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Brian Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023084779NPI-NPPES
02588205MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 219514 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brian Jacob is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Brian Jacob, MD
1010 5th Ave, Laparoscopic Surgery Center,
New York, NY 10028-0130

Ph: (212) 879-6677
Brian Jacob, MD
1010 5th Ave, Laparoscopic Surgical Center,
New York, NY 10028-0130

Ph: (212) 879-6677

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› Verified 7 days ago


Surgery Doctors in New York, NY

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Phone: 212-342-1734    Fax: 212-342-5754

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