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

Zachary Colin Jacobs, DO

Individual provider Pediatric Adolescent Medicine Physician · NPI 1215179973

Zachary Colin Jacobs, DO is a Pediatric Medicine in East Moriches, New York. Qualified in 2009, 17 years ago. Practices with Stony Brook Children's Service, University Faculty Practice Corporatio, a 41-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
17
Licensed in
NY
In the registry since
2009
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

492 Montauk Hwy
East Moriches, NY 11940-1347
Phone: (631) 638-2900
Fax: (631) 878-8083
Show map & directions

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

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X · Licence 279031 (NY)

Record details

NPI number1215179973
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 27, 2009
Last updated in NPPESMay 15, 2015
Mailing addressPo Box 1559, Stony Brook, NY 11790-0989

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Stony Brook Children'S Service, University Faculty Practice Corporatio — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount