OrganizationActive
Jacob Jacoby MD
NPI 1790347243 · Multi-Specialty Clinic/Center · Suffern, NY
Jacob Jacoby MD is a Multi-Specialty Clinic/Center organization in Suffern, NY (NPI 1790347243).
Provider details
- NPI number
- 1790347243
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jacob Jacoby, Owner(718) 362-8184
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
100 Route 59 Ste 103
Suffern, NY 10901-4927
Phone: (718) 362-8184
Fax: (718) 362-1651
Street-level locationGet directions
Mailing address
612 Corporate Way Ste 2m
Valley Cottage, NY 10989-2027
Other names (DBA / former)
- Doing business as
- Jacob Jacoby MD PHD
Registry dates
- Enumerated
- 2019-07-05
- Last updated
- 2019-07-05
Frequently asked questions
- What is Jacob Jacoby MD's NPI number?
- Jacob Jacoby MD's National Provider Identifier (NPI) is 1790347243, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jacob Jacoby MD?
- Jacob Jacoby MD is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Jacob Jacoby MD located?
- Jacob Jacoby MD's practice location on file with NPPES is 100 Route 59 Ste 103, Suffern, NY 10901-4927.
- What is Jacob Jacoby MD's phone number?
- The practice phone number listed in the NPPES registry for Jacob Jacoby MD is (718) 362-8184.
- Who is the authorized official for Jacob Jacoby MD?
- The authorized official listed on Jacob Jacoby MD's NPPES record is Jacob Jacoby, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jacob Jacoby MD's NPI active?
- Yes — Jacob Jacoby MD's NPI (1790347243) is active in the NPPES registry as of the last update on 2019-07-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.