MEDICARE: JACOB HIRSCH MD PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1558170332
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JACOB HIRSCH MD PLLC

Provider Business Mailing Address
First Line	:	1861 E 22ND ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-1526
Country	:	US
Telephone Number	:	732-630-8593
Fax Number	:

Provider Business Practice Location Address
First Line	:	2136 OCEAN AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-1406
Country	:	US
Telephone Number	:	917-696-1620
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JACOB HIRSCH
Credential	:	MD
Telephone Number	:	917-696-1620

Provider Enumeration Date	:	01/06/2025
Last Update Date	:	12/09/2025

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