MARIANNE JACOB NPI 1215453857

NPI Information

  • NPI: 1215453857
  • Provider Name: MARIANNE JACOB
  • Classification: Pediatrics - 2080P0205X
  • Specialization: Pediatric Endocrinology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 375 MOUNT PLEASANT AVE
    WEST ORANGE, NJ
    ZIP 07052
  • Phone: (973) 322-6900

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NPI Details

Marianne Jacob is a pediatric endocrinology pediatrics in West Orange, NJ. The provider is a pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. Marianne Jacob NPI is 1215453857. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

375 MOUNT PLEASANT AVE
WEST ORANGE, NJ
ZIP 07052-750
Phone: (973) 322-6900
Fax: (973) 322-6999

The NPI 1215453857 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 8/15/2017 and was last updated on 10/6/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080P0205XPediatricsPediatric Endocrinology25MB11494800NEW JERSEYNo
22080P0205XPediatricsPediatric Endocrinology297526NEW YORKYes

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: 11/21/2025

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