Organization Active NPI

Personal Image, P.C.

  • Surgery of the Hand (Plastic Surgery) Physician
  • Saddle River, NJ
National Provider Identifier
1932306446
Registry record updated Aug 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X
License
25MB06930400 Issued in NJ
Legal business name
PERSONAL IMAGE, P.C.
Practice address
82 E Allendale Rd Ste 1a
Saddle River, NJ 07458-3057
Phone
(201) 969-9900
Fax
(855) 355-0006
NPI assigned
Jun 28, 2007
Last updated
Aug 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2026

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

Authorized official

Name
Jeffry L Jacobs, D.O., FACOSNPI 1134169279
Title
President
Phone
(201) 969-9900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Plastic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2082S0105X 25MB06930400 NJ Primary

Addresses

Primary practice location

82 E Allendale Rd Ste 1a
Saddle River, NJ 07458-3057

Mailing address

PO Box 98
Hillsdale, NJ 07642-0098
Phone (201) 969-9900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120109000628 NJ Part B Supplier - Clinic/Group Practice 8426224718 Receives reassigned benefits from 1 practitioner
Practice locations: Saddle River, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786147200000",
    "number": "1932306446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98",
            "city": "HILLSDALE",
            "state": "NJ",
            "postal_code": "076420098",
            "telephone_number": "201-969-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 E ALLENDALE RD STE 1A",
            "city": "SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074583057",
            "telephone_number": "201-969-9900",
            "fax_number": "855-355-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL IMAGE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2026-08-08",
        "certification_date": "2026-08-08",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "JEFFRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-969-9900",
        "authorized_official_credential": "D.O., FACOS"
    },
    "taxonomies": [
        {
            "code": "2082S0105X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "NJ",
            "license": "25MB06930400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saddle River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2026; 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.