Active NPI
Lloydine J. Jacobs, MD
- Orthopaedic Surgery Physician
- Fort Lee, NJ
National Provider Identifier
1992934350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MT194697
- Practice address
- 229 Main St Unit 1100D
Fort Lee, NJ 07024-8823 - Phone
- (844) 724-6735
- Fax
- (855) 723-2174
- NPI assigned
- Jul 7, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MT194697 | PA | Primary |
Addresses
Primary practice location
229 Main St Unit 1100D
Fort Lee, NJ 07024-8823
Mailing address
623 Lafayette Ave Ste 103
Hawthorne, NJ 07506-2439
Phone (844) 724-6735
Other practice location 1
623 Lafayette Ave Ste 103
Hawthorne, NJ 07506-2439
Phone (844) 724-6735
Other practice location 2
3471 Fifth Avenue
University of Pittsburgh Medical Center
Pittsburgh, PA 15213
Phone (412) 605-3262
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT194697 | PA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Next Gen Orthopaedics LLC | Orthopaedic Surgery | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BFAHBD
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- Fort Lee, NJ
- NPI 1316411168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554854400000",
"number": "1992934350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "623 LAFAYETTE AVE STE 103",
"city": "HAWTHORNE",
"state": "NJ",
"postal_code": "075062439",
"telephone_number": "844-724-6735",
"fax_number": "855-723-2174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 MAIN ST UNIT 1100D",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070248823",
"telephone_number": "844-724-6735",
"fax_number": "855-723-2174"
}
],
"practiceLocations": [
{
"address_1": "623 Lafayette Ave Ste 103",
"address_purpose": "LOCATION",
"city": "Hawthorne",
"state": "NJ",
"postal_code": "075062439",
"country_code": "US",
"telephone_number": "844-724-6735",
"fax_number": "855-723-2174",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3471 Fifth Avenue",
"address_2": "University of Pittsburgh Medical Center",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "15213",
"country_code": "US",
"telephone_number": "412-605-3262",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACOBS",
"first_name": "LLOYDINE",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-07",
"last_updated": "2019-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "PA",
"license": "MT194697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lee, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.