DR. EDWARD JULIUS JACOBS (NPI# 1770550154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770550154 |
| Entity Type | Individual |
| Full Name | DR. EDWARD JULIUS JACOBS |
| Credential | M.D. |
| Practice Address |
62 Hackett Blvd Albany NY 12209-1756 |
| Mailing Address |
62 Hackett Blvd Albany NY 12209-1718 |
| Practice Telephone | 5184657062 |
| Practice Fax Number | 5184491378 |
| Mailing Telephone | 5184657062 |
| Mailing Fax Number | 5184491378 |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2010-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 129504 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00547764 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679596126 | Edward Harold Jacobs | Psychologist | 12 Parmenter Rd, Londonderry, NH 03053-3280 | 2006-07-25 |
| 1134183726 | Edward R Jacobs | Optometrist | 999 Riverview Drive, Ste 203, Totowa, NJ 07512 | 2006-04-12 |
| 1255330676 | Edward Cornelious Jacobs | Specialist | 10 Southmoor Cir Nw, Kettering, OH 45429-2486 | 2005-07-18 |
| 1629268768 | Edward E Jacobs | Otolaryngology | 243 Charles St, 9th Floor, Boston, MA 02114-3002 | 2007-07-25 |
| 1487703732 | Edward T Jacobs | Optometrist | 1 N Maysville St, Mount Sterling, KY 40353-1315 | 2007-01-09 |
| 1316954837 | Edward Jacobs | Emergency Medicine | 55 Fogg Rd, Weymouth, MA 02190-2432 | 2006-08-01 |
| 1104891324 | Edward Jacobs | Pediatrics | 8910 Vernon Rd, Lake Stevens, WA 98258-2400 | 2006-02-21 |
| Street Address |
62 HACKETT BLVD |
| City | ALBANY |
| State | NY |
| Zip Code | 12209-1756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922000611 | James Fletcher Horn | Internal Medicine | 62 Hackett Blvd, Albany, NY 12209-1718 | 2005-08-11 |
| 1235752726 | Dayna Davi | Nurse Practitioner | 62 Hackett Blvd, Albany, NY 12209-1756 | 2020-05-19 |
| 1902188980 | Amber L Lange | Nurse Practitioner | 62 Hackett Blvd, Suite 2, Albany, NY 12209-1756 | 2011-09-15 |
| 1699060368 | Frank B. Cortazar | Internal Medicine | 62 Hackett Blvd, Albany, NY 12209-1756 | 2011-06-10 |
| 1326228933 | Mary K Noonan | Dietitian, Registered | 62 Hackett Blvd, Albany, NY 12209-1718 | 2007-11-12 |
| 1528181161 | Radhika Reddy Chappidi | Dietitian, Registered | 62 Hackett Blvd, Albany, NY 12209-1718 | 2007-04-09 |
| 1508956400 | Michael Haden Gallichio | Transplant Surgery | 62 Hackett Blvd, Albany, NY 12209-1756 | 2006-10-13 |
| 1801983788 | Lee and Burack Ob/gyn, P.C. | Obstetrics & Gynecology | 62 Hackett Blvd, Albany, NY 12209-1718 | 2006-10-10 |
| 1275641748 | Jeffery H Fox | Psychologist | 62 Hackett Blvd, Albany, NY 12209 | 2006-08-26 |
| 1427083013 | Kristine A Newman | Nurse Practitioner | 62 Hackett Blvd, Albany, NY 12209 | 2006-07-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356993968 | Shanta Ienee Pointer | Licensed Practical Nurse | 337 Second Avenue, Albany, NY 12209 | 2019-07-13 |
| 1396266011 | 24 Seven Medical Transportation Inc | Non-emergency Medical Transport (VAN) | 13 Beekman Street, Albany, NY 12209 | 2017-07-03 |
| 1255852554 | Taisha Dejesus | Taxi | 17 Oneida Terrance, Albany, NY 12209 | 2017-06-28 |
| 1205385218 | Shirley Jean Bolden | Licensed Practical Nurse | 3 Beekman St., Albany, NY 12209 | 2016-10-03 |
| 1285069492 | Chandra Wells | Speech-Language Pathologist | 33 Betwood St, Albany, NY 12209 | 2013-09-06 |
| 1790061406 | Olive Farooq | Registered Nurse | 100 Elbel Ct, Albany, NY 12209 | 2011-10-26 |
| 1982988184 | Susan Daniels | Social Worker | 100 Elbel Court, Myers Middle School, Albany, NY 12209 | 2011-10-06 |
| 1679725535 | Alyssa Catharine Lotmore | Social Worker | 102 Hackett Blvd., Albany, NY 12209 | 2008-10-22 |
| 1255497707 | Kimberly Ann Kilby | Family Medicine | 25 Hackett Blvd # Mc133, Albany, NY 12209 | 2006-12-29 |
| 1427158880 | Eckerd Corporation | Pharmacy | 493 Delaware Avenue, Albany, NY 12209 | 2006-09-25 |
| Find all providers in zip 12209 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205247921 | Katherine Beditz Cartwright | Obstetrics & Gynecology | 319 S Manning Blvd Ste 201, Albany, NY 12208-1743 | 2014-05-15 |
| 1073893459 | Anna Natenzon Frega | Obstetrics & Gynecology | 391 Myrtle Ave. 2nd Floor, Albany, NY 12208 | 2011-08-17 |
| 1821230525 | Willie Adams Jr Md Obgyn LLC | Obstetrics & Gynecology | 507 W 3rd Ave Ste 3, Albany, GA 31701-1944 | 2009-03-27 |
| 1851551923 | Francis Kwarteng | Obstetrics & Gynecology | 401 S. Madison Street, Albany, GA 31701 | 2008-06-12 |
| 1639338320 | Phoebe Women's Services | Obstetrics & Gynecology | 901 N Madison St, Albany, GA 31701-2210 | 2008-06-06 |
| 1811099757 | Drs Adams & Woods Md, LLC | Obstetrics & Gynecology | 320 W 2nd Ave, Albany, GA 31701-2370 | 2006-09-01 |
| 1760494322 | Lindsay Raynard Cruel | Obstetrics & Gynecology | 317 W 1st Ave, Albany, GA 31701-2303 | 2006-08-12 |
| 1740216498 | Firstcare Medical Foundation | Obstetrics & Gynecology | 1700 Geary Street Se, Albany, OR 97322-6842 | 2006-06-24 |
| 1548246465 | Moon Yun Chung | Obstetrics & Gynecology | 421 W 4th Ave, Albany, GA 31701-1973 | 2005-12-22 |
| 1396738886 | Ronald Allan Cucina | Obstetrics & Gynecology | 1001 N Monroe St, Albany, GA 31701-1903 | 2005-08-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.