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Deactivated NPI 1154440162 Deactivated / Inactive NPI Male Practitioner

Robert B Jacobson

Dentist - General Practice • Yonkers, NY

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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, Robert Jacobson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 29, 2007
NPI Deactivation Date August 03, 2017
Total Practice Duration ~10 Years of Practice (2007 – 2017)

Professional Overview & Biography Verified Profile Summary

Robert Jacobson was a registered Dentist - General Practice practicing in Yonkers, NY. Throughout an active medical career spanning 10 years, Robert Jacobson provided care at the practice location at 34 N BROADWAY until profile deactivation on 2017-08-03.

Practice Location & Contact Primary Location

Practice Address

34 N Broadway

Yonkers, NY 107012793

Telephone 9149667400
Fax 9149667484
Associated Practice Facility / Clinic
🏢 Newsmiledentalllc Facility NPI 1902071376

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Yonkers, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
78 Specialists

Practicing in Yonkers, NY (8411 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NY 043315

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Shadi Sayegh , MD

Family Medicine

NPI 1316351174

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 August 03, 2017

Record deactivated on August 03, 2017

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 34 N BROADWAY, YONKERS, NY 107012793 (Tel: 9149667400)

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Updated Business Mailing Address July 09, 2007

Registered at 34 N BROADWAY, YONKERS, NY 107012793 (Tel: 9149667400)

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Provider Name / Credentials Updated July 09, 2007

Recorded as ROBERT JACOBSON

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #043315 in NY)

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Initial NPI Registration & Enumeration March 29, 2007

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: 1154440162
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 29, 2007
Last Update: July 09, 2007
Deactivation Date: August 03, 2017

Mailing Address

34 N Broadway

Yonkers, NY 107012793

Phone: 9149667400

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.