Emad Jacob, MD
Individual provider Active NPI Internal Medicine Physician · Kearney, NJ
NPI 1669622015 · NPPES record last updated Mar 2, 2011
Key facts
- NPI
- 1669622015
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 25MA08462300 (NJ)
- Practice address
- 715 Kearney Ave
Kearney, NJ 07032 - Phone
- (201) 772-5211
- Fax
- (201) 428-1627
- NPI assigned
- Sep 23, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 11
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Emad Jacob, MD PC
Practice addresses (Care Compare)
837 Kearny Ave
Kearny, NJ 07032-3241
Phone (201) 772-5211
Hospital & facility affiliations
- Amedisys Home Health
- Barnabas Health Home Care and Hospice
- Promise Care NJ
- Promise Care NJ
- Grace Healthcare Services LLC
- Barnabas Health Home Care and Hospice
- St Joseph'S University Medical Center Inc
- The University Hospital
- Kessler Rehab Center
- Alaris Health at Kearny
- Alaris Health at Belgrove
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.76 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 79.19
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090106000143 | NJ | Practitioner - Internal Medicine |
3274696000 |
Reassigns benefits to 1 organization Practice locations: Kearny, NJ |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emad Jacob, MD PC | Internal Medicine | Current |
Accepting new patients |
| University Hospital | Past | Accepting new patients | |
| West Hudson Sub Acute Care Center LLC | Past | Accepting new patients | |
| Billstra Pharmacy LLC | Past | Accepting new patients | |
| Cooperman Barnabas Medical Center Inc | Past | Accepting new patients | |
| Prime Healthcare Services - St Michaels LLC | Past | Accepting new patients | |
| Clara Maass Medical Center | Past | Accepting new patients | |
| Evergreen Physicians of North Jersey, PC | Internal Medicine | 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
206 Bergen Ave
Kearny, NJ 07032
Phone (201) 955-2010
837 Kearny Ave
Kearny, NJ 07032
Phone (201) 772-5211
195 Belgrove Dr
Kearny, NJ 07032
Phone (973) 344-4800
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
- ejacob@direct.rwjbh.org
- jacob.emad.001.0300133@ejmd.meditab.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA08462300 | NJ | Yes |
Addresses
Primary practice location
715 Kearney Ave
Kearney, NJ 07032
Mailing address
715 Kearney Ave
Kearney, NJ 07032
Phone (201) 772-5211
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0179141 | Medicaid | NJ |
Other names
- Emad Yaakoub
Other providers in Kearney, NJ
All providers in Kearney, NJ · Internal Medicine Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.