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

Jacob Samba, MD

Individual provider General Practice Physician · NPI 1639890692

Jacob Samba, MD is a General Practice in Bronx, New York. Qualified in 2019, 7 years ago. Practices with Progressive Care Medical Group PLLC, a 44-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2022
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

2015 Grand Concourse
Bronx, NY 10453-4303
Phone: (718) 299-7295
Fax: (718) 299-6797
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 112121 (NY)

Record details

NPI number1639890692
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 8, 2022
Last updated in NPPESSeptember 8, 2022
Certification dateSeptember 8, 2022
Mailing address2626 Halperin Ave, Bronx, NY 10461-2631

Medicare enrollment

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

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Progressive Care Medical Group Pllc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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