Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob H Jacoby Medical PC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1316597008

Jacob H Jacoby Medical PC is an Addiction (Substance Use Disorder) Counselor in Suffern, New York. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
4
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 Route 59 Ste 103
Suffern, NY 10901-4927
Phone: (845) 697-0000
Fax: (718) 387-6429
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X
Family Psychologist Taxonomy 103TF0000X

Record details

NPI number1316597008
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacob Jacoby — Ceo · (845) 697-0000
NPI enumeratedSeptember 16, 2019
Last updated in NPPESSeptember 16, 2019
Mailing address100 Route 59 Ste 103, Suffern, NY 10901-4927

Other providers in Suffern