Jisha Jacob
Nurse Practitioner, Family in Passaic, New Jersey
1437957701- Practice location
- 615 Main Ave # 7055, Passaic, NJ 07055-5066
- Phone
- 800-200-8196
- Fax
- —
- Last updated
- July 9, 2026
Jisha Jacob is a Nurse Practitioner, Family based in Passaic, NJ. Jisha Jacob practices in Passaic, NJ. The NPI Number for Jisha Jacob is 1437957701 and holds a License No. 357923 (NY). The current practice location address for Jisha Jacob is 615 Main Ave # 7055, Passaic, NJ 07055-5066 and can be reached out via phone at 800-200-8196.
Provider Profile Details
- NPI Number
- 1437957701
- Provider Name
- Jisha Jacob
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 615 Main Ave # 7055, Passaic, NJ 07055-5066
- Phone Number
- 800-200-8196
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 4, 2025
- Last Update Date
- July 9, 2026
- Certification Date
- July 9, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 615 Main Ave # 7055
Passaic, NJ 07055-5066 - City
- Passaic
- State
- New Jersey
- Zip
- 07055-5066
- Phone Number
- 800-200-8196
Provider Business Mailing Address Details
- Address
- 47 Old Middletown RD
Nanuet, NY 10954-3208 - City
- Nanuet
- State
- NY
- Zip
- 10954-3208
- Phone Number
- 708-296-9823
License Information
- License Number (1)
- 357923
- License State (1)
- NY
- Taxonomy (1)
- Family Medicine · 207Q00000X
- License Number (2)
- 209030880
- License State (2)
- IL
- Taxonomy (2)
- Family Medicine · 207Q00000X
- License Number (3)
- 26NJ15521400
- License State (3)
- NJ
- Taxonomy (3)
- Nurse Practitioner, Family · 363LF0000X · 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 Jisha Jacob?
The NPI number of Jisha Jacob is 1437957701. It was assigned on March 4, 2025 and is currently active in the NPPES registry.
What is the specialty of Jisha Jacob?
Jisha Jacob is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NY under license number 357923.
Where does Jisha Jacob practice?
The practice location is 615 Main Ave # 7055, Passaic, NJ 07055-5066. The office can be reached at 800-200-8196 (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 1437957701 directly on the NPPES registry website.