Individual
DR. JEFFREY MICHAEL JACOBSON
Active
Individual
DR. JEFFREY MICHAEL JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101287638
VA
2085R0202X
Diagnostic Radiology Physician
Primary
168781-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000929320001
HEALTHNOW
NY
05
—
01718249
—
NY
01
—
10820256
CAQH
NY
01
—
178209FF
PREFERRED CARE
NY
01
—
198781
GREAT WEST LICENSE #
NY
01
—
7226804
AETNA
NY
Enumeration date
05/22/2006
Last updated
02/19/2026
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