DR. ELLIS JACOBS PHD NPI 1720256910

NPI Information

NPI: 1720256910
Provider Name: DR. ELLIS JACOBS, PHD
Classification: Specialist/Technologist, Pathology - 246QL0901X
Entity Type: Individual

Specialization: Laboratory Management, Diplomate

Address:
540 WYNDHAM RD
TEANECK, NJ
ZIP 07666
Phone: (201) 836-1518
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DR. Ellis Jacobs, PHD is a laboratory management and diplomate specialist technologist pathology in Teaneck, NJ. DR. Ellis Jacobs, PHD NPI is 1720256910. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

540 WYNDHAM RD
TEANECK, NJ
ZIP 07666-612
Phone: (201) 836-1518
Fax: (212) 318-4699

The enumeration date for this NPI number is 2/11/2008 and was last updated on 7/1/2013.

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
1	246QL0901X	Specialist/Technologist, Pathology	Laboratory Management, Diplomate	JACOE1	NEW YORK	Yes

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: 5/5/2024

NPI Synchronization or Removal

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