Marianne Jacob
Pediatrics, Pediatric Endocrinology in West Orange, New Jersey
1215453857- Practice location
- 375 Mount Pleasant Ave, West Orange, NJ 07052-2750
- Phone
- 973-322-6900
- Fax
- 973-322-6999
- Last updated
- October 6, 2022
Marianne Jacob is a Pediatrics, Pediatric Endocrinology based in West Orange, NJ. Marianne Jacob practices in West Orange, NJ. The NPI Number for Marianne Jacob is 1215453857 and holds a License No. 25MB11494800 (NJ). The current practice location address for Marianne Jacob is 375 Mount Pleasant Ave, West Orange, NJ 07052-2750 and can be reached out via phone at 973-322-6900 and via fax at 973-322-6999.
Provider Profile Details
- NPI Number
- 1215453857
- Provider Name
- Marianne Jacob
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 375 Mount Pleasant Ave, West Orange, NJ 07052-2750
- Phone Number
- 973-322-6900
- Fax Number
- 973-322-6999
- Primary Taxonomy
- Pediatrics, Pediatric Endocrinology · 2080P0205X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 15, 2017
- Last Update Date
- October 6, 2022
- Certification Date
- September 19, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 375 Mount Pleasant Ave
West Orange, NJ 07052-2750 - City
- West Orange
- State
- New Jersey
- Zip
- 07052-2750
- Phone Number
- 973-322-6900
- Fax Number
- 973-322-6999
Provider Business Mailing Address Details
- Address
- 48 Sycamore Ln
Roslyn Heights, NY 11577-2522 - City
- Roslyn Heights
- State
- NY
- Zip
- 11577-2522
License Information
- License Number (1)
- 25MB11494800
- License State (1)
- NJ
- Taxonomy (1)
- Pediatrics, Pediatric Endocrinology · 2080P0205X
- License Number (2)
- 297526
- License State (2)
- NY
- Taxonomy (2)
- Pediatrics, Pediatric Endocrinology · 2080P0205X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics, Pediatric Endocrinology providers near West Orange, NJ
View all Pediatrics, Pediatric Endocrinology providers in West Orange →- Dr. Dennis J Brenner, MDPediatrics, Pediatric Endocrinology · NPI 1467487512
- Dr. Irene Mamkin, MDPediatrics, Pediatric Endocrinology · NPI 1326210485
- Oluwagbenga Filani, RNNurse Practitioner, Psych/Mental Health · NPI 1447508353
- Vital Health ServicesNurse Practitioner, Psych/Mental Health · NPI 1154193910
- Nebi GhebrePhysician Assistant · NPI 1932009990
- Joann BartnikBehavior Analyst · NPI 1487492872
Frequently Asked Questions
What is the NPI number of Marianne Jacob?
The NPI number of Marianne Jacob is 1215453857. It was assigned on August 15, 2017 and is currently active in the NPPES registry.
What is the specialty of Marianne Jacob?
Marianne Jacob is registered under the primary taxonomy Pediatrics, Pediatric Endocrinology (code 2080P0205X), licensed in NJ under license number 25MB11494800.
Where does Marianne Jacob practice?
The practice location is 375 Mount Pleasant Ave, West Orange, NJ 07052-2750. The office can be reached at 973-322-6900 (phone) or 973-322-6999 (fax).
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 1215453857 directly on the NPPES registry website.