Emad Jacob, MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA08462300 Issued in NJ

Legal business name

EMAD JACOB, MD PC

Practice address

714 Kearny Ave
Kearny, NJ 07032-3006

Phone

(201) 772-5211

Fax

(201) 428-1627

NPI assigned

Nov 23, 2009

Last updated

Jan 24, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Emad Jacob, MDNPI 1669622015

Title

Physician

Phone

(201) 772-5211

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Emad Jacob, MD

  • Internal Medicine Physician
  • Kearney, NJ
  • NPI 1669622015
  Medicare reassignment Care Compare group NPD Authorized official
• Priyanka Gajjar

  • Primary Care Nurse Practitioner
  • Kearny, NJ
  • NPI 1669915906
  Medicare reassignment Care Compare group NPD
• Wafa T Hmoud, FNP

  • Nurse Practitioner
  • Morristown, NJ
  • NPI 1902112063
  Medicare reassignment Care Compare group NPD
• Judy Rivera, NURSE PRACTITIONER

  • Primary Care Nurse Practitioner
  • Hillsborough, NJ
  • NPI 1316697675
  Medicare reassignment Care Compare group NPD
• Anne Marie Hurban, APN

  • Family Nurse Practitioner
  • Mahwah, NJ
  • NPI 1205534492
  Medicare reassignment NPD

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

{
    "created_epoch": "1258934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1699003194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 KEARNY AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070323006",
            "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": "714 KEARNY AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070323006",
            "telephone_number": "201-772-5211",
            "fax_number": "201-428-1627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMAD JACOB, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-23",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "JACOB",
        "authorized_official_first_name": "EMAD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "201-772-5211",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08462300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0179141",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Kearny, NJ
• Providers in Kearny, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.