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

Andrew Jacobs

Individual provider Family Medicine Physician · NPI 1538522487

Andrew Jacobs is a Family Practice in Sayville, New York. Qualified in 2016, 10 years ago. Practices with Tidalhealth Primary Care LLC, a 63-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
10
Licensed in
NY
In the registry since
2016

Practice location Address checks out

5600 Sunrise Hwy
Sayville, NY 11782-1017
Phone: (631) 563-7828
Fax: (631) 563-7837
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 296966 (NY)

Record details

NPI number1538522487
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 29, 2016
Last updated in NPPESSeptember 9, 2019
Mailing address1345 Rxr Plz Fl 13, Uniondale, NY 11556-1301

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Tidalhealth Primary Care Llc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Sayville