- Practice location
- 451 Clarkson Ave, Brooklyn, NY 11203-2057
- Phone
- 718-245-3638
- Fax
- —
- Last updated
- July 8, 2007
Mariamma Jacob is a Pediatrics based in Brooklyn, NY. Mariamma Jacob practices in Brooklyn, NY and has the professional credentials of MD. The NPI Number for Mariamma Jacob is 1477539567 and holds a License No. 191017 (NY). The current practice location address for Mariamma Jacob is 451 Clarkson Ave, Brooklyn, NY 11203-2057 and can be reached out via phone at 718-245-3638.
Provider Profile Details
- NPI Number
- 1477539567
- Provider Name
- Mariamma Jacob
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 451 Clarkson Ave, Brooklyn, NY 11203-2057
- Phone Number
- 718-245-3638
- Primary Taxonomy
- Pediatrics · 208000000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 20, 2005
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 451 Clarkson Ave
Brooklyn, NY 11203-2057 - City
- Brooklyn
- State
- New York
- Zip
- 11203-2057
- Phone Number
- 718-245-3638
Provider Business Mailing Address Details
- Address
- 2 Katharina Pl
Township Of Washington, NJ 07676-4125 - City
- Township Of Washington
- State
- NJ
- Zip
- 07676-4125
- Phone Number
- 201-447-6609
- Fax Number
- 201-447-6609
License Information
- License Number
- 191017
- License State
- NY
- Taxonomy
- Pediatrics · 208000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics providers near Brooklyn, NY
View all Pediatrics providers in Brooklyn →Frequently Asked Questions
What is the NPI number of Dr. Mariamma Jacob, MD?
The NPI number of Dr. Mariamma Jacob, MD is 1477539567. It was assigned on December 20, 2005 and is currently active in the NPPES registry.
What is the specialty of Dr. Mariamma Jacob, MD?
Dr. Mariamma Jacob, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NY under license number 191017.
Where does Dr. Mariamma Jacob, MD practice?
The practice location is 451 Clarkson Ave, Brooklyn, NY 11203-2057. The office can be reached at 718-245-3638 (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 1477539567 directly on the NPPES registry website.