NPIMap

Individual provider Active NPI

Emad Jacob, MD

  • Internal Medicine Physician
  • Kearney, NJ
National Provider Identifier
1669622015
Registry record updated Mar 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA08462300 Issued in NJ
Practice address
715 Kearney Ave
Kearney, NJ 07032
Phone
(201) 772-5211
Fax
(201) 428-1627
NPI assigned
Sep 23, 2008
Last updated
Mar 2, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2011

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 25MA08462300 NJ Primary

Addresses

Primary practice location

715 Kearney Ave
Kearney, NJ 07032

Mailing address

715 Kearney Ave
Kearney, NJ 07032
Phone (201) 772-5211

Other names 1

  • Emad Yaakoub Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090106000143 NJ Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 3274696000 Reassigns benefits to 1 organization
Practice locations: Kearny, NJ

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists)
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Emad Jacob, MD PCGroup PAC ID 8820261662, 4 clinicians

Practice addresses (Care Compare)

837 Kearny Ave
Kearny, NJ 07032-3241
Phone (201) 772-5211

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.76 of 100Reported as group
Quality
100
Improvement activities
40
Cost
79.19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Emad Jacob, MD PC Internal Medicine CurrentSince Aug 7, 2011 Accepting new patients
University Hospital Past Accepting new patients
Cooperman Barnabas Medical Center Inc Past Accepting new patients
Prime Healthcare Services - St Michaels LLC Past Accepting new patients
Billstra Pharmacy LLC Past Accepting new patients
Clara Maass Medical Center Past Accepting new patients
Evergreen Physicians of North Jersey, PC Internal Medicine PastSince Dec 8, 2006 Accepting new patients
West Hudson Sub Acute Care Center LLC Past Accepting new patients
Springfield Medical Center of NJ PC Internal Medicine Past Accepting new patients

Locations

1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008

195 Belgrove Dr
Kearny, NJ 07032
Phone (973) 344-4800

206 Bergen Ave
Kearny, NJ 07032
Phone (201) 955-2010

837 Kearny Ave
Kearny, NJ 07032
Phone (201) 772-5211

111 Central Ave
Newark, NJ 07102
Phone (973) 877-5060

495 N 13th St
Newark, NJ 07107
Phone (973) 268-1400

96 Parkway
Rochelle Park, NJ 07662
Phone (201) 221-2351

96 Parkway
Spc Hosp
Rochelle Park, NJ 07662
Phone (973) 450-2540

Interoperability endpoints

  • Direct secure messaging: ejacob@direct.rwjbh.org
  • Direct secure messaging: jacob.emad.001.0300133@ejmd.meditab.direct-ci.com

Organizations & group practices 9

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299024000000",
    "number": "1669622015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 KEARNEY AVE",
            "city": "KEARNEY",
            "state": "NJ",
            "postal_code": "07032",
            "telephone_number": "201-772-5211",
            "fax_number": "201-428-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 KEARNEY AVE",
            "city": "KEARNEY",
            "state": "NJ",
            "postal_code": "07032",
            "telephone_number": "201-772-5211",
            "fax_number": "201-428-1627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "EMAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-23",
        "last_updated": "2011-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08462300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMAD",
            "last_name": "YAAKOUB",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kearney, NJ

Sources for this page

Verify at the official NPI Registry.