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

Jeffrey Mica Jacobson, MD

Individual provider Surgery of the Hand (Plastic Surgery) Physician · NPI 1588812820

Jeffrey Mica Jacobson, MD is a Plastic and Reconstructive Surgery in Hawthorne, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 2005, 21 years ago. Licensed in New York.

Years since qualifying
21
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
NY
In the registry since
2008
Specialties on file
2
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

19 Bradhurst Ave Ste 2900 S
Hawthorne, NY 10532
Phone: (914) 421-0123
Fax: (888) 381-4542
Show map & directions

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

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 264192 (NY)
Surgery of the Hand (Plastic Surgery) Physician Taxonomy 2082S0105X · Licence 264192 (NY)

Record details

NPI number1588812820
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 28, 2008
Last updated in NPPESMay 13, 2025
Certification dateMay 13, 2025

Medicare enrollment

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

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Also practisesHAND SURGERY
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Not indicated