Jennifer Jacobs, APN

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

26NR18778100 Issued in NJ

Practice address

208 Bunn Dr
Princeton, NJ 08540-2851

Phone

(609) 683-4999

NPI assigned

Oct 4, 2022

Last updated

Oct 21, 2024By the provider in NPPES

Sex

Female

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: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Princeton Dermatology AssociatespcGroup PAC ID 1052377215, 16 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.

• Princeton Dermatology Associates PC

  • Dermatology Physician
  • Princeton, NJ
  • NPI 1336104561
  Medicare reassignment Care Compare group NPD
• Princeton Dermatology Associates II LLC

  • Dermatology Physician
  • Princeton, NJ
  • NPI 1629946918
  Medicare reassignment NPD

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1578288478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 BUNN DR",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402851",
            "telephone_number": "609-683-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 BUNN DR",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402851",
            "telephone_number": "609-683-4999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Hartner Ave",
            "address_purpose": "LOCATION",
            "city": "Somerdale",
            "state": "NJ",
            "postal_code": "080831124",
            "country_code": "US",
            "telephone_number": "610-299-2504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "90 Brick Rd",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "080532177",
            "country_code": "US",
            "telephone_number": "856-355-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-04",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "NJ",
            "license": "26NR18778100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Craig Isaacson, DMD
• Ivy League Health & Fitness (SOURCE Institute for Human Performance)
• Ivy Therapy Center LLC Dba Arya Therapy Center of New Jersey
• Kaitlin Jackson
• Tiffany Jackson, LSCW
• Jacqueline Milane DMD & Nicole Deakins DMD LLC
• Suzanne Kay Jadico, M.D.
• Archana Jain, PSYD
• Jaina Physical Therapy & Rehab.
• Jaina Physical Therpay & Rehabilitation

• Critical Care Medicine Registered Nurse in Princeton, NJ
• Providers in Princeton, NJ by specialty
• Critical Care Medicine Registered Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.