OrganizationActive
Brad J. Jacobs, Md.pc
NPI 1235284308 · Medical Specialty Clinic/Center · New York, NY
Provider details
- NPI number
- 1235284308
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Brad Jacobs, President(212) 831-7770
- License
- 175524 (NY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
55 E 86th St
Suite 1b
New York, NY 10028-1059
Phone: (212) 831-7770
Fax: (212) 831-7771
Approximate (ZIP-level) locationGet directions
Mailing address
55 E 86th St
New York, NY 10028-1059
Registry dates
- Enumerated
- 2007-01-25
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.