Molly Jacob, APN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NJ00023600 Issued in NJ

Practice address

30 Brace Dr
East Hanover, NJ 07936-3025

Phone

(973) 781-0172

NPI assigned

May 2, 2007

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• University Hospital

  • Acute Care Nurse Practitioner
  • Newark, NJ
  • NPI 1033494430
  Medicare reassignment
• University Hospital

  • General Acute Care Hospital
  • Newark, NJ
  • NPI 1215998323
  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649492760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BRACE DR",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363025",
            "telephone_number": "973-781-0172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BRACE DR",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363025",
            "telephone_number": "973-781-0172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "MOLLY",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00023600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory John Hunter, OPHTHALMIC DISPENSER
• Insight Clinical Services, LLC
• Jessica Intromasso
• Carol Irving, MD
• Melvin Itty, DPT
• Lyssa Sorkin Jacobs, MD
• Nichole Cecilia Jenisch, R.N., A.P.N.,C
• JJD Senior Services,LLC
• John J. Graeber DMD (PA)
• Junior Chiropractic Center, P.a.

• Adult Health Nurse Practitioner in East Hanover, NJ
• Providers in East Hanover, NJ by specialty
• Adult Health Nurse Practitioner 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.