David J Jacobs, MD PA

Primary specialty

Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081N0008X

License

25MA04130000 Issued in NJ

Legal business name

DAVID J JACOBS, MD PA

Practice address

2780 Morris Ave
Suite 1B
Union, NJ 07083-4852

Phone

(908) 769-0137

NPI assigned

Nov 7, 2011

Organization subpart

No

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

Authorized official

Name

Dr. David J Jacobs, MDNPI 1205846342

Title

President

Phone

(908) 769-0137

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Jay Jacobs, MD

  • Physical Medicine & Rehabilitation Physician
  • Short Hills, NJ
  • NPI 1205846342
  Medicare reassignment NPD Authorized official
• Lisa R Hart, PT

  • Physical Therapist
  • Union, NJ
  • NPI 1245394238
  NPD (past)
• Brett W Melworm, MPT

  • Physical Therapist
  • Summit, NJ
  • NPI 1124182191
  NPD (past)
• Robert F O'Connell, PT

  • Physical Therapist
  • Union, NJ
  • NPI 1972667970
  NPD (past)
• Erin C Blankenship, DPT, OCS, CSCS

  • Physical Therapist
  • Cary, NC
  • NPI 1215091277
  NPD (past)

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

{
    "created_epoch": "1320624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320624000000",
    "number": "1265719124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "554 WHITE OAK RIDGE RD",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070781338",
            "telephone_number": "908-769-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 MORRIS AVE",
            "address_2": "SUITE 1B",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070834852",
            "telephone_number": "908-769-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J JACOBS, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-07",
        "last_updated": "2011-11-07",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-769-0137",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081N0008X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": "NJ",
            "license": "25MA04130000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janica Dabu
• Amita Daftari, M.D.
• Kim Ly Dang, RPH
• Angela Davenport, D.C.
• David a. Worth, M.D., P.a.
• David S. Wolkstein, M.D. PA
• Glenn A Davison, DPM
• Sanaz Davoodi, DDS
• Day Star Home Healthcare
• Jesselly De la Cruz, LCSW

• Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician in Union, NJ
• Providers in Union, NJ by specialty
• Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.