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

Elizabeth Jacob

Individual provider Surgery Physician · NPI 1619408234

Elizabeth Jacob is a General Surgery in Latham, New York. Graduated from Virginia Commonwealth University, School of Medicine in 2017, 9 years ago. Practices with Community Care Physicians PLLC, a 364-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
9
Trained at
Virginia Commonwealth University, School of Medicine
Licensed in
NJ, NY
In the registry since
2017
Specialties on file
3
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Practice location Address checks out

6 Wellness Way Ste G03
Latham, NY 12110-2135
Phone: (518) 785-5884
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 298555 (NY)
Surgery Physician Taxonomy 208600000X · Licence 25MA11829800 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1619408234
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 24, 2017
Last updated in NPPESSeptember 30, 2024
Certification dateSeptember 30, 2024
Mailing address6 Wellness Way Ste 201, Latham, NY 12110-2156

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolVIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Community Care Physicians Pllc — 364 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Latham