DR. NOAM JACOB M.D.
NPI 1609142603
Student in an Organized Health Care Education/Training Program in New York, NY

NPI Status: Active since March 24, 2012

Contact Information

17 E 102ND ST
7TH FLOOR #1087
NEW YORK, NY
ZIP 10029
Phone: (212) 659-8551

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  • Individual
  • Male
  • Student in an Organized Health Care Educ...
  • PECOS Enrolled

About NOAM JACOB

This page provides the complete NPI Profile along with additional information for Noam Jacob, a primary care provider established in New York, New York with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1609142603 assigned on March 2012. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1609142603
Provider Name
DR. NOAM JACOB M.D.
Gender
Male
Entity Type
Individual
Location Address
17 E 102ND ST 7TH FLOOR #1087 NEW YORK, NY 10029
Location Phone
(212) 659-8551
Mailing Address
17 E 102ND ST 7TH FLOOR #1087 NEW YORK, NY 10029
Mailing Phone
(212) 659-8551
Is Sole Proprietor?
No
Enumeration Date
03-24-2012
Last Update Date
03-24-2012
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A primary care provider (PCP) like Noam Jacob sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Medicare Participation & PECOS Enrollment Status

Noam Jacob 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

  • 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.
1609142603
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
260924460
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 2 + 4 + 4 + 6 + 0 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1609142603 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 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1750343513MS. KARLENE N DALE NP-BC
Individual
Nurse Practitioner (Family)17 E 102ND ST (7W) - BOX 1087
NEW YORK, NY 10029
(212) 824-7518
1194803890 MARK CALLAHAN MD
Individual
Internal Medicine17 E 102ND ST
NEW YORK, NY 10029
(212) 241-6585
1629275276 MINAL KALE MD
Individual
Internal Medicine17 E 102ND ST
NEW YORK, NY 10029
(212) 659-8551
1972770543DR. LISA LITTMAN M.D., MPH
Individual
Preventive Medicine (Public Health & General Preventive Medicine)17 E 102ND ST DEPT OF COMMUNITY AND PREVENTIVE MEDICINE
NEW YORK, NY 10029
(212) 824-7069
1245492156 EMILY WANG M.D.
Individual
Internal Medicine17 E 102ND ST 5TH FLOOR
NEW YORK, NY 10029
(212) 241-6585
1902046378DR. FARZIN FOROOGHIAN MD
Individual
General Acute Care Hospital17 E 102ND ST 8TH FLOOR
NEW YORK, NY 10029
(212) 241-0939
1699904565 AUGUSTA ORR HARRISON M.S, R.D., C.D.N.
Individual
Dietitian, Registered17 E 102ND ST 5TH FLOOR, EAST TOWER
NEW YORK, NY 10029
(212) 241-2475
1760719603MOUNT SINAI DEPARTMENT OF ORTHOPAEDIC SURGERY
Organization
Specialist17 E 102ND ST
NEW YORK, NY 10029
(212) 241-6980
1841518115MSSM-OPTICAL SHOP
Organization
Eyewear Supplier17 E 102ND ST 8TH FLOOR #1183
NEW YORK, NY 10029
(212) 824-7660
1578852893 ARIEL BENSON M.D.
Individual
Student in an Organized Health Care Education/Training Program17 E 102ND ST # 1087
NEW YORK, NY 10029
(212) 659-8551
1164718748MRS. MARIAMMA KURIAN NP
Individual
Nurse Practitioner (Adult Health)17 E 102ND ST
NEW YORK, NY 10029
(212) 824-7690
1609155423 ALEXANDRA DEREVNUK FNP
Individual
Nurse Practitioner (Adult Health)17 E 102ND ST 2ND FLOOR EHS
NEW YORK, NY 10029
(212) 824-7690
1336414564 DANA SUN
Individual
Student in an Organized Health Care Education/Training Program17 E 102ND ST 7TH FLOOR #1087
NEW YORK, NY 10029
(212) 659-8551
1588759021 ARLENE R. EISENSON NP
Individual
Nurse Practitioner (Family)17 E 102ND ST
NEW YORK, NY 10029
(212) 659-8551
1457338345 MICHAEL NEUWIRTH MD
Individual
Orthopaedic Surgery17 E 102ND ST 5TH FLOOR
NEW YORK, NY 10029
(212) 241-1071
1568432201DR. PAUL L KUFLIK MD
Individual
Orthopaedic Surgery17 E 102ND ST FIFTH FLOOR
NEW YORK, NY 10029
(212) 241-1072
1447456108DR. EUGENE MICHAEL BULKIN M.D.
Individual
Physical Medicine & Rehabilitation17 E 102ND ST 5D
NEW YORK, NY 10029
(212) 241-1074
1891958815MS. GILDA FORSETER NURSE PRACTITIONER
Individual
Nurse Practitioner17 E 102ND ST 5TH FLOOR
NEW YORK, NY 10029
(212) 241-1068
1164785200MISS KERRI-ANN BELL N.P.
Individual
Nurse Practitioner (Adult Health)17 E 102ND ST 5TH FLOOR
NEW YORK, NY 10029
(212) 241-1067
1740269398DR. ALEXANDER J LEE MD
Individual
Physical Medicine & Rehabilitation (Pain Medicine)17 E 102ND ST
NEW YORK, NY 10029
(212) 241-1076

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609142603, enumerated in the NPI registry as an "individual" on March 24, 2012

The provider is located at 17 E 102nd St 7th Floor #1087 New York, Ny 10029 and the phone number is (212) 659-8551

The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X

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 24, 2012. 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.