Jacob McCartney, ATC

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

25MT00210600 Issued in NJ

Practice address

1225 Raider Way
Toms River, NJ 08753-4576

Phone

(848) 992-0290

NPI assigned

Aug 9, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470700800000",
    "number": "1992259790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LAUREL CT",
            "city": "POINT PLEASANT BEACH",
            "state": "NJ",
            "postal_code": "087423242",
            "telephone_number": "732-766-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 RAIDER WAY",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087534576",
            "telephone_number": "848-992-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTNEY",
        "first_name": "JACOB",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-09",
        "last_updated": "2016-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NJ",
            "license": "25MT00210600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara McCanna
• McCarthy Counseling and Consulting
• Dolores McCarthy, MD
• Kathleen McCarthy, APRN,BC
• Thomas A. McCarthy, LPC
• James S. McCaughan, M.D.
• Ashley McCormack, M.D.
• Christina McCormack, LCSW
• Erika Theresa McCormick
• Kathryn McDonald

• Community Health Worker in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Community Health Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; 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.