Skip to main content
IndividualActiveMedicare EnrolledPrescriberCan Order/Refer

Jacob Mir

PA-C

Physician Assistant

NPI: 1043054158Liverpool, New York, 13090(315) 291-0064Male

About Jacob Mir

Jacob Mir, PA-C, is a male healthcare professional specializing in Physician Assistant, registered under National Provider Identifier (NPI) number 1043054158. Jacob Mir received his medical education at OTHER, graduating in 2024.

Their primary practice is located at 7375 OSWEGO RD, Liverpool, New York 13090. Patients can reach the office at (315) 291-0064. In addition to the primary location, Jacob Mir maintains 7 additional practice locations.

Jacob Mir is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services, is authorized to prescribe medications. Jacob Mir has been NPI-registered since 2024.

Key Metrics

Practice Locations

8

Doctor Details

Identity & Credentials

NPI Number
1043054158
Entity Type
Individual
First Name
Jacob
Last Name
Mir
Credential
PA-C
Gender
Male
Medical School
OTHER
Graduation Year
2024
Sole Proprietor
Yes
Status
active

Primary Practice Location

Address
7375 OSWEGO RD
City
Liverpool
State
New York
ZIP
13090-3717
Country
United States
Phone
(315) 291-0064

Specialty & Taxonomy

Primary Specialty
Physician Assistant
Classification
Physician Assistant
Taxonomy Code
363A00000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
2744 HILTONWOOD RD
City
BALDWINSVILLE
State
NY
ZIP
130278207

Medicare Enrollment

Medicare Enrolled
Yes
Can Order/Refer
Yes
Telehealth
No
Excluded
No

Prescriber Information

Authorized Prescriber
Yes

Frequently Asked Questions

What is Jacob Mir's NPI number?
Jacob Mir's National Provider Identifier (NPI) is 1043054158. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Jacob Mir specialize in?
Jacob Mir specializes in Physician Assistant. They received their medical education at OTHER (class of 2024).
Where is Jacob Mir located?
Jacob Mir practices at 7375 OSWEGO RD, Liverpool, New York 13090. You can reach them by phone at (315) 291-0064. They also have 7 additional practice locations.
Does Jacob Mir accept Medicare?
Yes, Jacob Mir is enrolled in the Medicare program and accepts Medicare patients. They are also authorized to order and refer services under Medicare.
Does Jacob Mir offer telehealth or virtual visits?
Jacob Mir does not currently offer telehealth services. In-person visits are required at their practice location.
Can Jacob Mir prescribe medications?
Yes, Jacob Mir is an authorized prescriber.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Jacob Mir is 1043054158.