Organization Active NPI

Dana B. Jacoby, MD, LLC

  • Obstetrics Physician
  • Tinton Falls, NJ
National Provider Identifier
1174746846
Registry record updated Jul 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
959061 Issued in NJ
Legal business name
DANA B. JACOBY, MD, LLC
Practice address
766 Shrewsbury Avenue
4TH Floor
Tinton Falls, NJ 07724
Phone
(732) 530-4545
Fax
(732) 530-5741
NPI assigned
Apr 11, 2007
Last updated
Jul 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2011

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

Authorized official

Name
Dana Jacoby, M.D.NPI 1356311609
Title
Director
Phone
(732) 530-4545

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 959061 NJ Primary

Addresses

Primary practice location

766 Shrewsbury Avenue
4TH Floor
Tinton Falls, NJ 07724

Mailing address

766 Shrewsbury Avenue
4TH Floor
Tinton Falls, NJ 07724
Phone (732) 530-4545

National Provider Directory

National Provider Directory

Locations

766 Shrewsbury Ave
Fl 4
Tinton Falls, NJ 07724
Phone (732) 530-4545

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310428800000",
    "number": "1174746846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "766 SHREWSBURY AVENUE",
            "address_2": "4TH FLOOR",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "07724",
            "telephone_number": "732-530-4545",
            "fax_number": "732-530-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "766 SHREWSBURY AVENUE",
            "address_2": "4TH FLOOR",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "07724",
            "telephone_number": "732-530-4545",
            "fax_number": "732-530-5741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANA B. JACOBY, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2011-07-12",
        "status": "A",
        "authorized_official_last_name": "JACOBY",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "732-530-4545",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NJ",
            "license": "959061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinton Falls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.