Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFFREY MICA JACOBSON, MD
ActiveJEFFREY MICA JACOBSON, MD is a Plastic Surgery healthcare provider located in HAWTHORNE, New York. NPI 1588812820 is currently active in the NPPES registry. Verify at CMS.
Plastic Surgery · HAWTHORNE, NY
Registration Details
- NPI Number
- 1588812820
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 28, 2008 (17.817863349957 yrs)
- Last Updated
- May 13, 2025
- Licenses
-
264192 (NY)264192 (NY)
Practice Information
- Address
-
19 BRADHURST AVESUITE 2900 SHAWTHORNE, NY, 10532Browse NY providers · Browse ZIP 10532
- Phone
- 9144210123
- Fax
- 8883814542
- Primary Specialty
-
Plastic Surgery
208200000X
- Additional Specialty
- Plastic Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.