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

Robin P Jacob

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1730742966

Robin P Jacob is an Internal Medicine in Stony Brook, New York. Graduated from New York Medical College in 2019, 7 years ago. Practices with Southwest Suffolk Medical PC, a 200-clinician group and accepts Medicare assignment.

Years since qualifying
7
Trained at
New York Medical College
In the registry since
2019
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Practice location Address checks out

Dept Of Medicine Hsc Level 16 Suny Stony Brook Hospital
Stony Brook, NY 11794-0001
Phone: (631) 444-2058
Fax: (631) 444-2493
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1730742966
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 14, 2019
Last updated in NPPESApril 14, 2019

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolNEW YORK MEDICAL COLLEGE
Graduated 2019 (7 years in practice)
Group practice Southwest Suffolk Medical Pc — 200 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Stony Brook