DR. LISA MARIA JACOB M.D. NPI 1700077237

NPI Information

  • NPI: 1700077237
  • Provider Name: DR. LISA MARIA JACOB, M.D.
  • Classification: Plastic Surgery - 208200000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 675 BALTIMORE DRIVE
    WILKES BARRE, PA
    ZIP 18702
  • Phone: (570) 808-6400

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NPI Details

DR. Lisa Maria Jacob, M.D. is a plastic surgery in Wilkes Barre, PA. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. DR. Lisa Maria Jacob, M.D. NPI is 1700077237. 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:

675 BALTIMORE DRIVE
WILKES BARRE, PA
ZIP 18702-306
Phone: (570) 808-6400
Fax: (570) 808-6338

The NPI 1700077237 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Mastectomy (HCPCS:NAN04)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 8/8/2007 and was last updated on 8/11/2020.

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
1208200000XPlastic SurgeryMD452576PENNSYLVANIAYes
2208200000XPlastic Surgery24109WEST VIRGINIANo
3208200000XPlastic Surgery25MA08245300NEW JERSEYNo

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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