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Deactivated NPI 1316934151 Deactivated / Inactive NPI Male Practitioner

Dr. Jed J Jacobson , MD

Pediatrics • Hollywood, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jed Jacobson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 05, 2005
NPI Deactivation Date July 17, 2024
Total Practice Duration ~19 Years of Practice (2005 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Jed Jacobson, MD was a registered Pediatrics practicing in Hollywood, FL. Throughout an active medical career spanning 19 years, Dr. Jacobson provided care at the practice location at 4500 SHERIDAN ST until profile deactivation on 2024-07-17.

Practice Location & Contact Primary Location

Practice Address

4500 Sheridan St

Hollywood, FL 330213516

Telephone 9549668000
Fax 9549666614
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Hollywood, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.0 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
84 Specialists

Practicing in Hollywood, FL (4160 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License FL ME10708

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

20 Associated Practitioners
NPI 1033143441

Doctor of Medicine (M.D.)

NPI 1114312907

Doctor of Medicine (M.D.)

NPI 1164410726

Doctor of Osteopathic Medicine (D.O.)

Angela Otero , ARNP

Nurse Practitioner - Pediatrics

NPI 1376070672

Advanced Registered Nurse Practitioner

NPI 1386698272

Doctor of Medicine (M.D.)

NPI 1427045293

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 17, 2024

Record deactivated on July 17, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 4500 SHERIDAN ST, HOLLYWOOD, FL 330213516 (Tel: 9549668000)

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Updated Business Mailing Address July 08, 2007

Registered at 4620 N STATE ROAD 7, SUITE 316, LAUDERDALE LAKES, FL 333195884 (Tel: 9549676400)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JED JACOBSON, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #ME10708 in FL)

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Initial NPI Registration & Enumeration October 05, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316934151
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 05, 2005
Last Update: July 08, 2007
Deactivation Date: July 17, 2024

Mailing Address

4620 N State Road 7, Suite 316

Lauderdale Lakes, FL 333195884

Phone: 9549676400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.