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

Jerry Jacob, CRNA

Individual provider Anesthesiology Physician · NPI 1538571799

Jerry Jacob, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Rocky Point, New York. Graduated from Columbia University College of Physicians and Surgeons in 2014, 12 years ago. Practices with Icahn School of Medicine at Mount Sinai, a 171-clinician group and accepts Medicare assignment. Licensed in Florida and New York.

Years since qualifying
12
Trained at
Columbia University College of Physicians and Surgeons
Licensed in
FL, NY
In the registry since
2014
Specialties on file
3
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

333 Route 25A Ste 225
Rocky Point, NY 11778-8556
Phone: (631) 744-3671
Fax: (631) 744-6205
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence APRN9384865 (FL)
Anesthesiology Physician Taxonomy 207L00000X · Licence 573032 (NY)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 105943 (NY)

Record details

NPI number1538571799
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMay 22, 2014
Last updated in NPPESMay 29, 2025
Certification dateMay 28, 2025
Mailing address333 Route 25a, Suite 225, Rocky Point, NY 11778-8556

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolCOLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 2014 (12 years in practice)
Group practice Icahn School Of Medicine At Mount Sinai — 171 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Rocky Point