Active NPIIndividual providerSole proprietor

Dr. Stuart Jacob, DPM

Podiatrist, Foot & Ankle Surgery in Burlington, New Jersey

NPI Number1538156963
Practice location
319 W Broad St, Burlington, NJ 08016-1343
Fax
609-386-2205
Last updated
November 23, 2009

Stuart Jacob is a Podiatrist, Foot & Ankle Surgery based in Burlington, NJ. Stuart Jacob practices in Burlington, NJ and has the professional credentials of DPM. The NPI Number for Stuart Jacob is 1538156963 and holds a License No. 25MD00189200 (NJ). The current practice location address for Stuart Jacob is 319 W Broad St, Burlington, NJ 08016-1343 and can be reached out via phone at 609-386-0217 and via fax at 609-386-2205.

Provider Profile Details

NPI Number
1538156963
Provider Name
Stuart Jacob
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
319 W Broad St, Burlington, NJ 08016-1343
Phone Number
609-386-0217
Fax Number
609-386-2205
Primary Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X
Sole Proprietor
Yes
Provider Enumeration Date
September 30, 2005
Last Update Date
November 23, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
319 W Broad St
Burlington, NJ 08016-1343
Zip
08016-1343
Phone Number
609-386-0217
Fax Number
609-386-2205
Burlington, NJ 08016Get directions →

Provider Business Mailing Address Details

Address
319 W Broad St
Burlington, NJ 08016-1343
City
Burlington
State
NJ
Zip
08016-1343
Phone Number
609-386-0217
Fax Number
609-386-2205

License Information

License Number
25MD00189200
License State
NJ
Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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. Stuart Jacob, DPM?

The NPI number of Dr. Stuart Jacob, DPM is 1538156963. It was assigned on September 30, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Stuart Jacob, DPM?

Dr. Stuart Jacob, DPM is registered under the primary taxonomy Podiatrist, Foot & Ankle Surgery (code 213ES0103X), licensed in NJ under license number 25MD00189200.

Where does Dr. Stuart Jacob, DPM practice?

The practice location is 319 W Broad St, Burlington, NJ 08016-1343. The office can be reached at 609-386-0217 (phone) or 609-386-2205 (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 1538156963 directly on the NPPES registry website.

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