Active NPIIndividual provider

Mr. Thomas C Jacobus, LAT, ATC, EMT-B

Emergency Medical Technician, Basic in Little Falls, New Jersey

NPI Number1811764236
Practice location
26 3RD Ave # 1, Little Falls, NJ 07424-1520
Fax
—
Last updated
December 6, 2023

Thomas C Jacobus is an Emergency Medical Technician, Basic based in Little Falls, NJ. Thomas C Jacobus practices in Little Falls, NJ and has the professional credentials of LAT, ATC, EMT-B. The NPI Number for Thomas C Jacobus is 1811764236 and holds a License No. 25MT00155100 (NJ). The current practice location address for Thomas C Jacobus is 26 3RD Ave # 1, Little Falls, NJ 07424-1520 and can be reached out via phone at 973-818-9325.

Provider Profile Details

NPI Number
1811764236
Provider Name
Thomas C Jacobus
Credential
LAT, ATC, EMT-B
Provider Entity Type
Individual
Gender
Male
Address
26 3RD Ave # 1, Little Falls, NJ 07424-1520
Phone Number
973-818-9325
Primary Taxonomy
Emergency Medical Technician, Basic · 146N00000X
Sole Proprietor
No
Provider Enumeration Date
December 6, 2023
Last Update Date
December 6, 2023
Certification Date
December 6, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
26 3RD Ave # 1
Little Falls, NJ 07424-1520
Zip
07424-1520
Phone Number
973-818-9325
Little Falls, NJ 07424Get directions →

Provider Business Mailing Address Details

Address
26 3RD Ave # 1
Little Falls, NJ 07424-1520
City
Little Falls
State
NJ
Zip
07424-1520
Phone Number
973-818-9325

License Information

License Number (1)
25MT00155100
License State (1)
NJ
License Number (2)
558323
License State (2)
NJ
Taxonomy (2)
Emergency Medical Technician, Basic · 146N00000X · 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 Mr. Thomas C Jacobus, LAT, ATC, EMT-B?

The NPI number of Mr. Thomas C Jacobus, LAT, ATC, EMT-B is 1811764236. It was assigned on December 6, 2023 and is currently active in the NPPES registry.

What is the specialty of Mr. Thomas C Jacobus, LAT, ATC, EMT-B?

Mr. Thomas C Jacobus, LAT, ATC, EMT-B is registered under the primary taxonomy Emergency Medical Technician, Basic (code 146N00000X), licensed in NJ under license number 25MT00155100.

Where does Mr. Thomas C Jacobus, LAT, ATC, EMT-B practice?

The practice location is 26 3RD Ave # 1, Little Falls, NJ 07424-1520. The office can be reached at 973-818-9325 (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 1811764236 directly on the NPPES registry website.

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