Active NPIIndividual provider

Christine A Jacob, MD

Student in an Organized Health Care Education/Training Program in Newark, New Jersey

NPI Number1629864103
Practice location
150 Bergen St, Newark, NJ 07103-2496
Fax
—
Last updated
April 19, 2025

Christine Ann Jacob is a Student in an Organized Health Care Education/Training Program based in Newark, NJ. Christine Ann Jacob practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Christine Ann Jacob is 1629864103. The current practice location address for Christine Ann Jacob is 150 Bergen St, Newark, NJ 07103-2496 and can be reached out via phone at 973-972-4300.

Provider Profile Details

NPI Number
1629864103
Provider Name
Christine Ann Jacob
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
150 Bergen St, Newark, NJ 07103-2496
Phone Number
973-972-4300
Sole Proprietor
No
Provider Enumeration Date
April 19, 2025
Last Update Date
April 19, 2025
Certification Date
April 19, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
150 Bergen St
Newark, NJ 07103-2496
City
Newark
Zip
07103-2496
Phone Number
973-972-4300
Newark, NJ 07103Get directions →

Provider Business Mailing Address Details

Address
150 Bergen St
Newark, NJ 07103-2496
City
Newark
State
NJ
Zip
07103-2496

License Information

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Student in an Organized Health Care Education/Training Program providers near Newark, NJ

View all Student in an Organized Health Care Education/Training Program providers in Newark →

Frequently Asked Questions

What is the NPI number of Christine A Jacob, MD?

The NPI number of Christine A Jacob, MD is 1629864103. It was assigned on April 19, 2025 and is currently active in the NPPES registry.

What is the specialty of Christine A Jacob, MD?

Christine A Jacob, MD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).

Where does Christine A Jacob, MD practice?

The practice location is 150 Bergen St, Newark, NJ 07103-2496. The office can be reached at 973-972-4300 (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 1629864103 directly on the NPPES registry website.

Browse related providers