ZACHARY COLIN JACOBS D.O.
NPI 1215179973
Pediatrics - Adolescent Medicine in East Moriches, NY

NPI Status: Active since March 27, 2009

Contact Information

492 MONTAUK HWY
EAST MORICHES, NY
ZIP 11940
Phone: (631) 638-2900
Fax: (631) 878-8083

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  • Individual
  • Male
  • Years of Experience 17
  • Pediatrics
  • Adolescent Medicine
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ZACHARY JACOBS

This page provides the complete NPI Profile along with additional information for Zachary Jacobs, a pediatrician established in East Moriches, New York with a medical specialization in Pediatrics, focusing in adolescent medicine and more than 17 years of experience. The healthcare provider is registered in the NPI registry with number 1215179973 assigned on March 2009. The practitioner's primary taxonomy code is 2080A0000X with license number 279031 (NY). The provider is registered as an individual and his NPI record was last updated 10 years ago.

NPI
1215179973
Provider Name
ZACHARY COLIN JACOBS D.O.
Gender
Male
Entity Type
Individual
Location Address
492 MONTAUK HWY EAST MORICHES, NY 11940
Location Phone
(631) 638-2900
Location Fax
(631) 878-8083
Mailing Address
PO BOX 1559 STONY BROOK, NY 11790
Mailing Phone
(631) 444-0650
Medical School Name
OTHER
Graduation Year
2009
Is Sole Proprietor?
No
Enumeration Date
03-27-2009
Last Update Date
05-15-2015
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A pediatrician like Zachary Jacobs is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Adolescent Medicine

Taxonomy Code
2080A0000X
Type
Allopathic & Osteopathic Physicians
License No.
279031
License State
NY
Taxonomy Description
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Medicare Participation & PECOS Enrollment Status

Zachary Jacobs is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Zachary Jacobs is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 8527201433

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20150511001322

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1215179973
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22252718914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 2 + 7 + 1 + 8 + 9 + 1 + 4 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1215179973 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1942267539DR. STEVEN JOHN PESCE MD
Individual
Pediatrics492 MONTAUK HWY
EAST MORICHES, NY 11940
(631) 638-2900
1689616773DR. EILEEN KELLY M.D.
Individual
Pediatrics492 MONTAUK HWY
EAST MORICHES, NY 11940
(631) 878-8050
1346440013 REGINA G MUIR CPNP
Individual
Nurse Practitioner (Pediatrics)492 MONTAUK HWY
EAST MORICHES, NY 11940
(631) 638-2900
1396940169DR. MEGAN KASNICKI M.D.
Individual
Pediatrics492 MONTAUK HWY
EAST MORICHES, NY 11940
(631) 638-2900
1740595461DR. JENNIFER LYNN KLINGENBERGER-BEYER M.D.
Individual
Pediatrics492 MONTAUK HWY
EAST MORICHES, NY 11940
(631) 638-2901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215179973, enumerated in the NPI registry as an "individual" on March 27, 2009

The provider is located at 492 Montauk Hwy East Moriches, Ny 11940 and the phone number is (631) 638-2900

The provider's speciality is Pediatrics with taxonomy code 2080A0000X with a focus in Adolescent Medicine

The provider has more than 17 years of experience.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on March 27, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.