Active NPIIndividual provider

Stephanie Jacob

Optometrist in Hoboken, New Jersey

NPI Number1205645454
Practice location
109 2ND St Unit 1, Hoboken, NJ 07030-7789
Fax
—
Last updated
January 2, 2025

Stephanie Jacob is an Optometrist based in Hoboken, NJ. Stephanie Jacob practices in Hoboken, NJ. The NPI Number for Stephanie Jacob is 1205645454 and holds a License No. 27OA00733700 (NJ). The current practice location address for Stephanie Jacob is 109 2ND St Unit 1, Hoboken, NJ 07030-7789 and can be reached out via phone at 201-420-0644.

Provider Profile Details

NPI Number
1205645454
Provider Name
Stephanie Jacob
Provider Entity Type
Individual
Gender
Female
Address
109 2ND St Unit 1, Hoboken, NJ 07030-7789
Phone Number
201-420-0644
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
January 2, 2025
Last Update Date
January 2, 2025
Certification Date
November 21, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
109 2ND St Unit 1
Hoboken, NJ 07030-7789
Zip
07030-7789
Phone Number
201-420-0644
Hoboken, NJ 07030Get directions →

Provider Business Mailing Address Details

Address
201 Railroad Ave Apt 205
East Rutherford, NJ 07073-1945
City
East Rutherford
State
NJ
Zip
07073-1945
Phone Number
201-724-3129

License Information

License Number
27OA00733700
License State
NJ
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Optometrists near Hoboken, NJ

View all Optometrists in Hoboken →

Frequently Asked Questions

What is the NPI number of Stephanie Jacob?

The NPI number of Stephanie Jacob is 1205645454. It was assigned on January 2, 2025 and is currently active in the NPPES registry.

What is the specialty of Stephanie Jacob?

Stephanie Jacob is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NJ under license number 27OA00733700.

Where does Stephanie Jacob practice?

The practice location is 109 2ND St Unit 1, Hoboken, NJ 07030-7789. The office can be reached at 201-420-0644 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205645454 directly on the NPPES registry website.

Browse related providers