Individual
JASON JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19 BRADHURST AVE, SUITE 3850S, HAWTHORNE, NY 10532-2140
(914) 909-6900
(914) 493-2828
Mailing address
19 BRADHURST AVE STE 3100N, HAWTHORNE, NY 10532-2140
(914) 909-9018
(914) 909-9028
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036-115096
IL
207RC0000X
Cardiovascular Disease Physician
215349
NY
207RC0001X
Clinical Cardiac Electrophysiology Physician
036-115096
IL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
215349
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003947600
—
FL
05
—
03917264
—
NY
01
—
ME110088
MEDICAL LICENSE
FL
Enumeration date
07/19/2006
Last updated
11/29/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us