| Denise Jacob, MD | |
|
185 S Orange Ave, Newark, NJ 07103-2757 | |
| (973) 972-1237 | |
| Not Available |
| Full Name | Denise Jacob |
|---|---|
| Gender | Female |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 185 S Orange Ave, Newark, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285157198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 25MA11712600 (New Jersey) | Primary |
| Entity Name | University Physician Associates Of New Jersey Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871503474 PECOS PAC ID: 9830003417 Enrollment ID: O20040427001102 |
| Mailing Address | Practice Location Address |
|---|---|
| Denise Jacob, MD 185 S Orange Ave, Newark, NJ 07103-2757 Ph: () - | Denise Jacob, MD 185 S Orange Ave, Newark, NJ 07103-2757 Ph: (973) 972-1237 |
Dr. Jie-gen Jiang, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 150 Bergen Street, Newark, NJ 07103 Phone: 973-972-4083 Fax: 973-972-5909 | |
Xinlai Sun, MD Pathology Medicare: Medicare Enrolled Practice Location: 201 Lyons Ave # L-4, Newark, NJ 07112 Phone: 973-926-7580 Fax: 973-705-8301 | |
Stanley Cohen, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 150 Bergen St, Newark, NJ 07103 Phone: 973-972-4145 Fax: 973-972-5909 | |
George P. Studzinski, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 150 Bergen St, Newark, NJ 07103 Phone: 973-972-5869 Fax: 973-972-5909 | |
Seena Carol Aisner, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 30 Bergen St, Admc 12 1205, Newark, NJ 07107 Phone: 973-972-0037 | |
Leroy Ralph Sharer, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 150 Bergen St, Newark, NJ 07103 Phone: 973-972-4770 Fax: 973-972-5933 | |
Fermina M Mazzella, MD Pathology Medicare: Medicare Enrolled Practice Location: 150 Bergen St, Room C-102, Newark, NJ 07103 Phone: 973-972-4619 Fax: 973-972-3199 |