Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104402908 Individual Practitioner Male Practitioner

Dr. Jacob Daniel Canavan , MD

Emergency Medicine • Bronx, NY

Professional Overview & Biography Verified Profile Summary

Dr. Jacob Canavan, MD is a registered healthcare professional specializing in Emergency Medicine in Bronx, NY. Practice services are available at 1650 GRAND CONCOURSE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1650 Grand Concourse

Bronx, NY 104577679

Telephone 7189927669
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Bronx, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.5 Yrs
State Avg: 22.3 Yrs
Regional Practice Density
471 Specialists

Practicing in Bronx, NY (5148 Statewide)

Telehealth Adoption Rate
10.2% 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

CMS Verified: 2024-09-03
Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License NY 327964

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Secondary Practice Locations

250 W 57th St

New York, NY 101070001

Phone: 2125238158

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. May Yee Helman , MD

Emergency Medicine

NPI 1003200445

Doctor of Medicine (M.D.)

NPI 1003201872

Doctor of Osteopathic Medicine (D.O.)

Dr. Matthew Peachey , MD

Internal Medicine

NPI 1003437690

Doctor of Medicine (M.D.)

NPI 1003583899

Doctor of Medicine (M.D.)

Dr. Yvonne Cruz , MD

Internal Medicine

NPI 1013036532

Doctor of Medicine (M.D.)

Dr. Khrystyna Leskiv , DDS

Dentist - Pediatric Dentistry

NPI 1013228287

Doctor of Dental Surgery

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location September 03, 2024

Registered at 1650 GRAND CONCOURSE, BRONX, NY 104577679 (Tel: 7189927669)

📍
Updated Business Mailing Address September 03, 2024

Registered at 1650 GRAND CONCOURSE, BRONX, NY 104577679 (Tel: 7189927669)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 03, 2024

Emergency Medicine (License #327964 in NY)

NPI Profile Active March 22, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location March 22, 2021

Registered at 250 W 57TH ST, NEW YORK, NY 101070001 (Tel: 2125238158)

📍
Updated Business Mailing Address March 22, 2021

Registered at 250 W 57TH ST, NEW YORK, NY 101070001 (Tel: 7163520169)

👤
Provider Name / Credentials Updated March 22, 2021

Recorded as JACOB CANAVAN, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 22, 2021

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: 1104402908
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 22, 2021
Last Update: September 03, 2024
Sole Proprietor: No

Mailing Address

1650 Grand Concourse

Bronx, NY 104577679

Phone: 7189927669

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.