Jobey Jacob, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

049082 Issued in CT

Practice address

365 Elm St
West Haven, CT 06516-4217

Phone

(203) 932-3227

NPI assigned

Feb 28, 2009

Last updated

Oct 25, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• West Haven Pediatrics, LLC

  • Pediatrics Physician
  • West Haven, CT
  • NPI 1104294644
  NPD (past) Authorized official
• West Haven Pediatrics, LLC

  • Primary Care Clinic/Center
  • West Haven, CT
  • NPI 1578095634
  Authorized official Same address or phone
• Staywell Pediatric LLC

  • Pediatric Nurse Practitioner
  • West Haven, CT
  • NPI 1255521019
  NPD (past)
• Staywell Pediatric LLC

  • Pediatric Adolescent Medicine Physician
  • West Haven, CT
  • NPI 1841498839
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1235779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319500800000",
    "number": "1114167350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 KYLES WAY",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846621",
            "telephone_number": "516-476-5452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 ELM ST",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065164217",
            "telephone_number": "203-932-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "JOBEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-28",
        "last_updated": "2011-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "049082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inspired Healing Services, LLC
• Internal Medicine of West Haven LLC
• Simina Clara Ionescu, MD
• Joseph Iossa
• Sarah Elizabeth Itteilag, AGACNP BC MSN
• Adrienne Julia Jaeger, APRN
• Ervin Andrei Jakab, M.D.
• Holly Angela James, LCSW
• Jane Serrita Jane, PHD
• Abu Zaryaan Javaid

• Pediatrics Physician in West Haven, CT
• Providers in West Haven, CT by specialty
• Pediatrics Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.