Provider Type Icon

LEENA RACHEL JACOB D.O. NPI 1851655765


NPI Information

NPI: 1851655765
Provider Name: LEENA RACHEL JACOB, D.O.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: RIVERSIDE PEDIATRIC GROUP PC

PECOS Registration: Yes

Address:
318 WHITE HORSE PIKE
HADDON HEIGHTS, NJ
ZIP 08035
Phone: (856) 547-6000
Get Directions

Leena Rachel Jacob, D.O. is a family medicine in Haddon Heights, NJ with 12 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Leena Rachel Jacob, D.O. NPI is 1851655765. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduation Year:2012

The provider's business location address is:

318 WHITE HORSE PIKE
HADDON HEIGHTS, NJ
ZIP 08035-705
Phone: (856) 547-6000
Fax: (856) 546-3189

The NPI 1851655765 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/26/2012 and was last updated on 10/26/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineOS017348PENNSYLVANIANo
2207Q00000XFamily Medicine25MB09680500NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.