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

Mr. Robert A Jacobs, MD

Individual provider Specialist · NPI 1194810390

Mr. Robert A Jacobs, MD is a Plastic and Reconstructive Surgery in Port Jefferson Station, New York. Graduated from Jefferson Medical College of Thomas Jefferson University in 1972, 54 years ago. Practices with Cosmetic Surgery of New York PC, a 2-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
54
Trained at
Jefferson Medical College of Thomas Jefferson University
Licensed in
NY
In the registry since
2006
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

4616 Nesconset Hwy
Port Jefferson Station, NY 11776-2563
Phone: (631) 473-7070
Fax: (631) 331-2654
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 133763 (NY)

Record details

NPI number1194810390
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 4, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolJEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated 1972 (54 years in practice)
Group practice Cosmetic Surgery Of New York Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Port Jefferson Station