# BRAD J. JACOBS, MD.PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235284308
- **Authorized official:** DR. BRAD JUSTIN JACOBS MD (PRESIDENT)
- **Authorized official phone:** (212) 831-7770

## Contact information

- **Practice address:** 55 E 86TH ST, SUITE 1B, NEW YORK, NY 10028-1059
- **Practice address phone:** (212) 831-7770
- **Practice address fax:** (212) 831-7771
- **Mailing address:** 55 E 86TH ST, SUITE 1B, NEW YORK, NY 10028-1059
- **Mailing address phone:** (212) 831-7770
- **Mailing address fax:** (212) 831-7771

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 175524 | NY | Yes |

## Other

- **Enumeration date:** 01/25/2007
- **Last updated:** 08/22/2020