Zachary Colin Jacobs

D.O. | Pediatric Adolescent Medicine | Male

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Complete Profile:

Zachary Colin Jacobs basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Adolescent Medicine
Provider Name :	Zachary Colin Jacobs
Credential :	D.O.
Gender :	Male

Business Address:

Zachary Colin Jacobs address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	492 Montauk Hwy East Moriches, NY, 11940-1347 United States
Phone Number :	631-638-2900
Fax Number :	631-878-8083

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1215179973
NPI Entity Type :	Individual
First Enrolment Date :	27 Mar, 2009
Last Updated On :	15 May, 2015

Medicare Participation:

Zachary Colin Jacobs participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	8527201433
Medicare Enrollment ID :	I20150511001322
Primary Specialty :	Pediatric Medicine
Medical School :	Other
Graduation Year :	2009
Accepts Medicare?	Yes. Zachary Colin Jacobs accepts medicare insurance.

Group Practice Association:

Zachary Colin Jacobs is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Zachary Colin Jacobs is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Stony Brook Children's Service, University Faculty Practice Corporatio	8921993551	32	2701 Sunrise Hwy Islip Terrace, NY - 117522642 Ph: 6316382375	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Zachary Colin Jacobs are as mentioned. Primary taxonomy code for Zachary Colin Jacobs, D.O. is 2080A0000X (Pediatrics Adolescent Medicine).

Taxonomy Code	Speciality	Primary	License No.	State
2080A0000X	Pediatrics Adolescent Medicine	Yes	279031	NY

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Po Box 1559 Stony Brook, NY, 11790-0989 United States
Phone Number :	631-444-0650

Business Location:

Patients can refer following map for directions to Zachary Colin Jacobs practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.