Individual provider Active NPI

Sneha Elizabeth Jacob, M.D.

  • Internal Medicine Physician
  • New Brunswick, NJ
National Provider Identifier
1265569602
Registry record updated Jul 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
249324 Issued in NY
Practice address
277 George St
New Brunswick, NJ 08901-1311
Phone
(732) 235-6700
Fax
(732) 235-6726
NPI assigned
Feb 27, 2007
Last updated
Jul 20, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 249324 NY Primary

Addresses

Primary practice location

277 George St
New Brunswick, NJ 08901-1311

Mailing address

277 George Street
New Brunswick, NJ 08901
Phone (732) 235-6700

Other identifiers 2

IdentifierTypeStateIssuer
03053963MedicaidNY
A400039472OtherNYMEDICARE PTAN

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20121220000221 NJ Practitioner - Internal MedicinePractitioner - Infectious Disease 8426110255 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
New York Medical College, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

123 Church St
New Brunswick, NJ 08901-2001
Phone (732) 235-6700

277 George St
New Brunswick, NJ 08901-1311

277 George St
New Brunswick, NJ 08901-1476
Phone (732) 235-6700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers Health-RWJ Primary Medicine Group CurrentSince Oct 8, 2013 Accepting new patients
Rutgers RWJ Eric B. Chandler Health Center CurrentSince Aug 6, 2012 Accepting new patients
Rutgers Health-RWJ Primary Medicine Group Internal Medicine CurrentSince Oct 8, 2013 Accepting new patients
Rutgers RWJ Eric B. Chandler Health Center CurrentSince Aug 6, 2012 Accepting new patients
Rutgers Health-RWJ Primary Medicine Group Internal Medicine CurrentSince Dec 21, 2019 Accepting new patients

Locations

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

123 Church St
New Brunswick, NJ 08901
Phone (732) 235-2052

125 Paterson St
#5200A
New Brunswick, NJ 08901
Phone (732) 235-7217

125 Paterson St
Ste 5100A
New Brunswick, NJ 08901
Phone (609) 655-5175

277 George St
New Brunswick, NJ 08901
Phone (732) 235-6700

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24297/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sjacob17102@epicdirect.rwjbh.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342742400000",
    "number": "1265569602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 GEORGE STREET",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "08901",
            "telephone_number": "732-235-6700",
            "fax_number": "732-235-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 GEORGE ST",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011311",
            "telephone_number": "732-235-6700",
            "fax_number": "732-235-6726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "SNEHA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2012-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "249324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03053963",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "A400039472",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.