Jancy Jacob

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

26NJ00858500 Issued in NJ

Practice address

105 Raider Blvd Ste 101
Hillsborough, NJ 08844-1528

Phone

(908) 281-0221

NPI assigned

May 4, 2022

Last updated

May 13, 2022By 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

Other names 1

• Jancy Joseph Former name

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physiatrists of New JerseyGroup PAC ID 9133403082, 5 clinicians

KB Physiatry LLCGroup PAC ID 9032579842, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• KB Physiatry LLC

  • Physical Medicine & Rehabilitation Physician
  • Perth Amboy, NJ
  • NPI 1437879749
  Medicare reassignment Care Compare group NPD
• Physiatrists of New Jersey

  • Physical Medicine & Rehabilitation Physician
  • Teaneck, NJ
  • NPI 1740723428
  Medicare reassignment Care Compare group NPD
• Id Care LLC

  • Infectious Disease Physician
  • Hillsborough, NJ
  • NPI 1639146277
  Medicare reassignment NPD
• Subacute Medical Associates

  • Internal Medicine Physician
  • Cedar Grove, NJ
  • NPI 1245607076
  Medicare reassignment NPD

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

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1215672167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 RAIDER BLVD STE 101",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088441528",
            "telephone_number": "908-281-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 RAIDER BLVD STE 101",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088441528",
            "telephone_number": "908-281-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "JANCY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-04",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00858500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANCY",
            "last_name": "JOSEPH",
            "credential": "APRN-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Independence House Inc.
• Infinity Bless Med Solutions LLC
• Insight Mental Health Services
• Internal Medicine Associates of Somerset
• Albert E Internoscia, DMD
• John Jacobi III, PA-C
• Lauren E. Jacobs, LCSW
• Karen Jahn, BSN RN-BC
• James V. Lang PC (Mountainview Chiropractic Center)
• Denise A Janiec-Domino, CA

• Nurse Practitioner in Hillsborough, NJ
• Providers in Hillsborough, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.