Adam Matthew Jacobs, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44LS05386800 Issued in NJ

Practice address

570 Lee St
Perth Amboy, NJ 08861-3053

Phone

(732) 442-1666

Fax

(732) 442-3512

NPI assigned

Mar 29, 2007

Last updated

Jul 8, 2007By 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

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

County of MiddlesexGroup PAC ID 0547165904, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• County of Middlesex

  dba George J. Otlowski, Sr.-Center for Mental Health Care

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Perth Amboy, NJ
  • NPI 1437245800
  Medicare reassignment Care Compare group NPD
• County of Middlesex

  dba Middlesex County Public Health

  • Public Health or Welfare Agency
  • East Brunswick, NJ
  • NPI 1023148178
  NPD

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477673093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 NEW YORK AVE",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070764624",
            "telephone_number": "908-803-3782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 LEE ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088613053",
            "telephone_number": "732-442-1666",
            "fax_number": "732-442-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "ADAM",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44LS05386800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inspire - Renew - Transform LLC
• Alaa Irshad, MD
• Sally A Isaacs, MSN, APN, FNP, CSN
• Mohammed Islam, MD
• Nafisa Islam
• Lorraine Frances Jacobs, MSW, LCSW
• Scott Reza Jafarian Kerman, MD MSCI
• Jafri Mirza Medical Associates
• Arthur Jakubczak, D.C.
• Saher Jaliawala, M.D.

• Social Worker in Perth Amboy, NJ
• Providers in Perth Amboy, NJ by specialty
• Social Worker 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.
• 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.