Active NPIIndividual providerSole proprietor

Maria Jacob

Physician Assistant in Parsippany, New Jersey

NPI Number1740793371
Practice location
924 Lake Shore Dr, Parsippany, NJ 07054-3986
Fax
—
Last updated
February 8, 2021

Maria Jacob is a Physician Assistant based in Parsippany, NJ. Maria Jacob practices in Parsippany, NJ. The NPI Number for Maria Jacob is 1740793371 and holds a License No. 25MP00536800 (NJ). The current practice location address for Maria Jacob is 924 Lake Shore Dr, Parsippany, NJ 07054-3986 and can be reached out via phone at 973-932-7401.

Provider Profile Details

NPI Number
1740793371
Provider Name
Maria Jacob
Provider Entity Type
Individual
Gender
Female
Address
924 Lake Shore Dr, Parsippany, NJ 07054-3986
Phone Number
973-932-7401
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 6, 2017
Last Update Date
February 8, 2021
Certification Date
February 8, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
924 Lake Shore Dr
Parsippany, NJ 07054-3986
Zip
07054-3986
Phone Number
973-932-7401
Parsippany, NJ 07054Get directions →

Provider Business Mailing Address Details

Address
924 Lake Shore Dr
Parsippany, NJ 07054-3986
City
Parsippany
State
NJ
Zip
07054-3986
Phone Number
973-932-7401

License Information

License Number (1)
25MP00536800
License State (1)
NJ
Taxonomy (1)
Physician Assistant, Medical · 363AM0700X
License Number (2)
085007899
License State (2)
IL
Taxonomy (2)
Physician Assistant · 363A00000X · 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 Maria Jacob?

The NPI number of Maria Jacob is 1740793371. It was assigned on November 6, 2017 and is currently active in the NPPES registry.

What is the specialty of Maria Jacob?

Maria Jacob is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00536800.

Where does Maria Jacob practice?

The practice location is 924 Lake Shore Dr, Parsippany, NJ 07054-3986. The office can be reached at 973-932-7401 (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 1740793371 directly on the NPPES registry website.

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