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

Individual provider Diagnostic Radiology Physician · NPI 1710956859

Daniel R Jacobson, MD is a Diagnostic Radiology in Williamsville, New York. Graduated from Albany Medical College of Union University in 1990, 36 years ago. Practices with St Josephs Diagnostic Center LLC, a 90-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
36
Trained at
Albany Medical College of Union University
Licensed in
NY
In the registry since
2006
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

111 N Maplemere Rd Ste 120
Williamsville, NY 14221-3178
Phone: (716) 836-4646
Fax: (716) 836-4696
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 186052 (NY)

Record details

NPI number1710956859
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 14, 2006
Last updated in NPPESAugust 21, 2023
Certification dateAugust 21, 2023

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated 1990 (36 years in practice)
Group practice St Josephs Diagnostic Center Llc — 90 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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