Advanced Wound Care

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ADVANCED WOUND CARE

Practice address

140 Prospect Ave Apt 8E
Hackensack, NJ 07601-2248

Phone

(914) 907-5770

NPI assigned

Oct 8, 2018

Last updated

Oct 8, 2018By 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

Dr. Seby Jacob, MD

Title

Owner

Phone

(914) 907-5770

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538956800000",
    "number": "1922573740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 PROSPECT AVE APT 8E",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012248",
            "telephone_number": "914-907-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 PROSPECT AVE APT 8E",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012248",
            "telephone_number": "914-907-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED WOUND CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-08",
        "last_updated": "2018-10-08",
        "status": "A",
        "authorized_official_last_name": "JACOB",
        "authorized_official_first_name": "SEBY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-907-5770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Neurosurgery Associates PC
• Advanced Pediatrics Group, L.L.C.
• Advanced Psychiatric Associates, LLC
• Advanced Therapeutic Modalities, LLC
• Advanced Womens Healthcare PA
• Advantage Home Care, LLC
• Aero Ambulance Service, Inc.
• Aesthetic Dental Center of Hackensack LLC
• Kristina Aganova, PSYD
• Jay Agarwal

• Internal Medicine Physician in Hackensack, NJ
• Providers in Hackensack, 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 Oct 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.