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

Dr. Mridula A Jacob, MD

Individual provider Allergy & Immunology Physician · NPI 1023491701

Dr. Mridula A Jacob, MD is an Allergy/Immunology in New Hartford, New York. Qualified in 2015, 11 years ago. Practices with St Josephs Medical PC, a 385-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2015
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

1729 Burrstone Rd
New Hartford, NY 13413-1001
Phone: (315) 798-1434
Fax: (315) 798-1461
Show map & directions

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

Specialties & licences

Allergy & Immunology Physician (primary) Taxonomy 207K00000X · Licence 295165 (NY)

Record details

NPI number1023491701
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 30, 2015
Last updated in NPPESJuly 11, 2024
Certification dateJuly 11, 2024

Medicare enrollment

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

Medicare specialtyALLERGY/IMMUNOLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice St Josephs Medical Pc — 385 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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