Fred Martin Jacobs, MD JD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

25MA02025900 Issued in NJ

Practice address

95 Old Short Hills Rd
Saint Barnabas Health Care System
West Orange, NJ 07052

Phone

(973) 322-4011

Fax

(973) 322-4074

NPI assigned

Apr 29, 2008

Last updated

Apr 29, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Juris Doctor, Doctor of Medicine

State licenses

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1205001385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 OLD SHORT HILLS RD",
            "address_2": "SAINT BARNABAS HEALTH CARE SYSTEM",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "07052",
            "telephone_number": "973-322-4011",
            "fax_number": "973-322-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 OLD SHORT HILLS RD",
            "address_2": "SAINT BARNABAS HEALTH CARE SYSTEM",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "07052",
            "telephone_number": "973-322-4011",
            "fax_number": "973-322-4074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "FRED",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "MD JD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MA02025900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joycelene Iwuala
• Jack Gold Surgical Appliances, Inc. (AlliedOP)
• Marianne Jacob
• Sonia Jacob
• Tess Jacob, M.D
• Jag Pediatric Therapy
• Jag-One Physical Therapy, LLC
• Harsh Jain, DO
• James a Valenza MD PA
• James M. Lee Jr MD PA (Orange Orthopaedic Associatees)

• Pulmonary Disease Physician in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Pulmonary Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.