DR. GLADY JACOB MD – NPI #1861750010
Psychiatry & Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

DR. GLADY JACOB MD is a psychiatry & neurologist located in ROME, NY. NPPES has assigned the NPI number 1861750010 to DR. GLADY JACOB MD on April 25, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DR. GLADY JACOB MD” is a dba name, the actual legal business name for this organization is ROME MEDICAL PRACTICE. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084N0400X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Neurology

The NPI profile was previously updated about 13 years ago on Mar 26, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DR. GLADY JACOB MD below.

NPI Profile for
ROME MEDICAL PRACTICE

NPI Number
1861750010
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ROME MEDICAL PRACTICE
Doing Business As (dba): DR. GLADY JACOB MD
Primary location
267 HILL RD
SUITE 100
ROME, NY 13441-4203
Phone: (315) 356-7380 Fax: (315) 356-7386
Mailing address
245 HILL RD
ROME, NY 13441-4203
Phone: (315) 337-0429 Fax: (315) 356-0583
Organization Subpart
Yes - DR. GLADY JACOB MD is subpart of another organization.
Authorized Official
SALTZGABER LEE
PRESIDENT
Phone: (315) 338-7232
Updated
Identifiers

Identifiers for DR. GLADY JACOB MD

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNY02735037
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084N0400X
- Psychiatry & Neurology / Neurology (Primary)
NY 003788-1
2084N0600X
- Psychiatry & Neurology / Clinical Neurophysiology
NY 003788-1

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.