Active NPIIndividual providerSole proprietor

Dr. Mark Jacobson, MD

Pediatrics in Sommers Point, New Jersey

NPI Number1659394484
Practice location
505 Bay Ave, Bayside Commons, Sommers Point, NJ 08244
Fax
609-927-5590
Last updated
July 8, 2007

Mark Jacobson is a Pediatrics based in Sommers Point, NJ. Mark Jacobson practices in Sommers Point, NJ and has the professional credentials of MD. The NPI Number for Mark Jacobson is 1659394484 and holds a License No. MB03043900 (NJ). The current practice location address for Mark Jacobson is 505 Bay Ave, Bayside Commons, Sommers Point, NJ 08244 and can be reached out via phone at 609-927-4235 and via fax at 609-927-5590.

Provider Profile Details

NPI Number
1659394484
Provider Name
Mark Jacobson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
505 Bay Ave, Bayside Commons, Sommers Point, NJ 08244
Phone Number
609-927-4235
Fax Number
609-927-5590
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
Yes
Provider Enumeration Date
July 25, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
505 Bay Ave
Bayside Commons
Sommers Point, NJ 08244
Zip
08244
Phone Number
609-927-4235
Fax Number
609-927-5590
Sommers Point, NJ 08244Get directions →

Provider Business Mailing Address Details

Address
505 Bay Ave
Bayside Commons
Sommers Point, NJ 08244
City
Sommers Point
State
NJ
Zip
08244
Phone Number
609-927-4235
Fax Number
609-927-5590

License Information

License Number (1)
MB03043900
License State (1)
NJ
Taxonomy (1)
Pediatrics · 208000000X · Primary
License Number (2)
OS-003415-L
License State (2)
PA
Taxonomy (2)
Pediatrics · 208000000X

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. Mark Jacobson, MD?

The NPI number of Dr. Mark Jacobson, MD is 1659394484. It was assigned on July 25, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Mark Jacobson, MD?

Dr. Mark Jacobson, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NJ under license number MB03043900.

Where does Dr. Mark Jacobson, MD practice?

The practice location is 505 Bay Ave, Bayside Commons, Sommers Point, NJ 08244. The office can be reached at 609-927-4235 (phone) or 609-927-5590 (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 1659394484 directly on the NPPES registry website.

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