Dr. Jerril Jacob, MD
Student in an Organized Health Care Education/Training Program in Newark, New Jersey
1215723499- Practice location
- 150 Bergen St # Uhi-248, Newark, NJ 07103-2496
- Phone
- 973-972-6056
- Fax
- 973-972-3129
- Last updated
- April 16, 2025
Jerril Jacob is a Student in an Organized Health Care Education/Training Program based in Newark, NJ. Jerril Jacob practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Jerril Jacob is 1215723499. The current practice location address for Jerril Jacob is 150 Bergen St # Uhi-248, Newark, NJ 07103-2496 and can be reached out via phone at 973-972-6056 and via fax at 973-972-3129.
Provider Profile Details
- NPI Number
- 1215723499
- Provider Name
- Jerril Jacob
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 150 Bergen St # Uhi-248, Newark, NJ 07103-2496
- Phone Number
- 973-972-6056
- Fax Number
- 973-972-3129
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 16, 2025
- Last Update Date
- April 16, 2025
- Certification Date
- April 15, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 150 Bergen St # Uhi-248
Newark, NJ 07103-2496 - City
- Newark
- State
- New Jersey
- Zip
- 07103-2496
- Phone Number
- 973-972-6056
- Fax Number
- 973-972-3129
Provider Business Mailing Address Details
- Address
- 150 Bergen St # Uhi-248
Newark, NJ 07103-2496 - City
- Newark
- State
- NJ
- Zip
- 07103-2496
- Phone Number
- 973-972-6056
- Fax Number
- 973-972-3129
License Information
- Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Jerril Jacob, MD?
The NPI number of Dr. Jerril Jacob, MD is 1215723499. It was assigned on April 16, 2025 and is currently active in the NPPES registry.
What is the specialty of Dr. Jerril Jacob, MD?
Dr. Jerril Jacob, MD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).
Where does Dr. Jerril Jacob, MD practice?
The practice location is 150 Bergen St # Uhi-248, Newark, NJ 07103-2496. The office can be reached at 973-972-6056 (phone) or 973-972-3129 (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 1215723499 directly on the NPPES registry website.