Active NPIIndividual providerSole proprietor

Marianne Jacob

Pediatrics, Pediatric Endocrinology in West Orange, New Jersey

NPI Number1215453857
Practice location
375 Mount Pleasant Ave, West Orange, NJ 07052-2750
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
Zip
07052-2750
Phone Number
973-322-6900
Fax Number
973-322-6999
West Orange, NJ 07052Get directions →

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

IdentifierTypeStateIssuer
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 →

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.

Browse related providers