Individual provider Active NPI

Lloydine J. Jacobs, MD

  • Orthopaedic Surgery Physician
  • Fort Lee, NJ
National Provider Identifier
1992934350
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MT194697 Issued in PA
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

Updated by the provider on Apr 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
MT194697PAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Next Gen Orthopaedics LLC Orthopaedic Surgery Past Accepting new patients

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.