Maria Jacob

Physician Assistant · Parsippany, NJ

Individual Active NPI

NPI number 1740793371

Practice location

924 Lake Shore Dr
Parsippany, NJ 07054-3986
Phone
(973) 932-7401

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NPI record

NPI
1740793371
Entity type
Individual (Type 1)
Enumeration date
November 6, 2017
Last updated
February 8, 2021
Certified
February 8, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 085007899 IL
Medical Physician Assistant 363AM0700X 25MP00536800 NJ

About Maria Jacob

Maria Jacob is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 924 Lake Shore Dr, Parsippany, NJ 07054-3986. The NPI number 1740793371 was assigned on November 6, 2017 and the record was last updated on February 8, 2021.

Maria Jacob lists 2 licenses in the registry: #085007899 (IL) for Physician Assistant; #25MP00536800 (NJ) for Medical Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Maria Jacob?

The NPI number is 1740793371.

What is the phone number of Maria Jacob?

The phone number listed for the practice location is (973) 932-7401.

Where is Maria Jacob located?

924 Lake Shore Dr, Parsippany, NJ 07054-3986.

What is the taxonomy code for Maria Jacob?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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