Individual provider Active NPI

Marina Jacobson, M.D.

  • Obstetrics & Gynecology Physician
  • Englewood, NJ
National Provider Identifier
1831145473
Registry record updated Oct 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MA07921300 Issued in NJ
Practice address
200 Engle St
Suite 14
Englewood, NJ 07631-2440
Phone
(201) 735-5700
Fax
(201) 735-5750
NPI assigned
May 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MA07921300 NJ Primary

Addresses

Primary practice location

200 Engle St
Suite 14
Englewood, NJ 07631-2440

Mailing address

200 Engle St
Suite 14
Englewood, NJ 07631-2440
Phone (201) 735-5700

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060123000838 NJ Practitioner - Obstetrics/Gynecology 7416971940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Temple University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians

Practice addresses (Care Compare)

216 Engle St
Suite 201
Englewood, NJ 07631-2428
Phone (201) 735-5700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA07921300NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Englewood, PC CurrentSince Jul 15, 2020 Accepting new patients
Fair Lawn Womens Health Obstetrics & Gynecology Past Accepting new patients
Retina Vitreous Consultants of New Jersey, LLC PastSince Jul 15, 2020 Accepting new patients

Locations

216 Engle St
Ste 201
Englewood, NJ 07631
Phone (201) 735-5700

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

2 Dean Dr
Tenafly, NJ 07670
Phone (201) 568-8288

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: mjacobson236083@direct.englewoodhealth.org

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319760000000",
    "number": "1831145473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ENGLE ST",
            "address_2": "SUITE 14",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312440",
            "telephone_number": "201-735-5700",
            "fax_number": "201-735-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ENGLE ST",
            "address_2": "SUITE 14",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312440",
            "telephone_number": "201-735-5700",
            "fax_number": "201-735-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "MARINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2011-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "MA07921300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

Verify at the official NPI Registry.