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

Adam Jacoby, MD

Individual provider Plastic Surgery Physician · NPI 1841677192

Adam Jacoby, MD is a Plastic and Reconstructive Surgery in New York, New York. Qualified in 2015, 11 years ago. Practices with Nuvance Health Medical Practice CT Inc, a 741-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Connecticut and New York.

Years since qualifying
11
Licensed in
CT, NY
In the registry since
2015
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

425 E 61st St Fl 10
New York, NY 10065-8722
Phone: (646) 962-4250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 550 1st Ave, New York, NY 10016-6402 — (212) 263-5506

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 309895 (NY)
Plastic Surgery Physician Taxonomy 208200000X · Licence 80024 (CT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1841677192
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 6, 2015
Last updated in NPPESMarch 24, 2025
Certification dateMarch 24, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Nuvance Health Medical Practice Ct Inc — 741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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