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

Dr. Jacob White, MD

Individual provider Vascular & Interventional Radiology Physician · NPI 1386969210

Dr. Jacob White, MD is an Interventional Radiology in New York, New York. Graduated from Georgetown University School of Medicine in 2010, 16 years ago. Practices with Pelham Pkwy Professional Medical Services of New York LLC, a 10-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
16
Trained at
Georgetown University School of Medicine
Licensed in
NY
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1264 Saint Nicholas Ave
New York, NY 10033-7263
Phone: (347) 532-1845
Fax: (718) 301-1099
Show map & directions

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

Additional practice locations (1)

  • 300 Community Dr, Manhasset, NY 11030-3816 — (516) 562-0100

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 264822 (NY)

Record details

NPI number1386969210
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 4, 2010
Last updated in NPPESNovember 29, 2018

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL RADIOLOGY
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Pelham Pkwy Professional Medical Services Of New York Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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