David Jay Jacobs, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

25MA04130000 Issued in NJ

Practice address

554 White Oak Ridge Rd
Short Hills, NJ 07078-1338

Phone

(973) 379-6824

Fax

(973) 379-7742

NPI assigned

Aug 9, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• David J Jacobs, MD PA

  • Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
  • Union, NJ
  • NPI 1265719124
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205846342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "554 WHITE OAK RIDGE ROAD",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "07078",
            "telephone_number": "973-379-6824",
            "fax_number": "973-379-7742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 WHITE OAK RIDGE RD",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070781338",
            "telephone_number": "973-379-6824",
            "fax_number": "973-379-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "DAVID",
        "middle_name": "JAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MA04130000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parinita R Hukeri
• Cassandra Hutchins, PSYD
• Innovation Anesthesia & Pain Services, P C
• Innovative Eyewear
• Intensive Air, Inc.
• Judith Jacobs, DMD
• Beena Jani, MD
• Luca Philip Jasper, DNP, PMHNP-BC
• Judith Barker, D.M.D., P.a.
• Margaret Marie Juhase, BEHAVIOR ANALYSIS

• Physical Medicine & Rehabilitation Physician in Short Hills, NJ
• Providers in Short Hills, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.