Deepa Jacob, APN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

26NJ01097900 Issued in NJ

Practice address

735 Evans St
Paramus, NJ 07652-2240

Phone

(201) 527-5452

NPI assigned

Jan 18, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles (4 of 8)

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989

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.

• JDS Medical Services PC

  • Emergency Medicine Physician
  • Englewood, NJ
  • NPI 1174224653

  NY

  Medicare reassignment NPD
• East Post Road Medical Services PC

  • Emergency Medicine Physician
  • White Plains, NY
  • NPI 1841767274

  NY

  Medicare reassignment NPD
• Medical Director Services PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Princess Anne, MD
  • NPI 1871955807

  NY

  Medicare reassignment NPD
• White Plains Physician Services PC

  • Internal Medicine Physician
  • White Plains, NY
  • NPI 1124502687

  Nurse Practitioner, NY

  Medicare reassignment NPD
• Inhospital Physicians Corp of New Jersey, PC

  • Internal Medicine Physician
  • Rochelle Park, NJ
  • NPI 1336625425

  NJ

  Medicare reassignment

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1922698562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 EVANS ST",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522240",
            "telephone_number": "201-527-5452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 EVANS ST",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522240",
            "telephone_number": "201-527-5452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "186 Paramus Road",
            "address_purpose": "LOCATION",
            "city": "Paramus",
            "state": "NJ",
            "postal_code": "076521309",
            "country_code": "US",
            "telephone_number": "973-661-8300",
            "fax_number": "973-661-8333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Southern Blvd",
            "address_purpose": "LOCATION",
            "city": "Chatham",
            "state": "NJ",
            "postal_code": "079281407",
            "country_code": "US",
            "telephone_number": "973-661-8300",
            "fax_number": "973-661-8333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1640 S Black Horse Pike",
            "address_purpose": "LOCATION",
            "city": "Williamstown",
            "state": "NJ",
            "postal_code": "080949247",
            "country_code": "US",
            "telephone_number": "973-661-8300",
            "fax_number": "973-661-8333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOB",
        "first_name": "DEEPA",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ01097900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Paramus",
            "affiliation": "N",
            "endpointDescription": "home",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Paramus",
            "address_1": "735 Evans Street",
            "city": "Paramus",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "07652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robin Juliette Iversen, MD
• Ivx Health of New Jersey, P.C.
• Louis B Izower, DDS, MS
• Jodi Jackson, LMT
• Bethsy Jacob, PHARMD
• Tony Jacob, PA-C
• Stephen Howard Jacobs, M.D.
• Adina Kwestel Jacobson, DPT
• Jae Yoon Shin DPM P.C.
• Zahra Batool Jafary, MD

• All providers in Paramus, NJ
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.