| Emad Jacob, Md Pc | |
|
714 Kearny Ave Kearny NJ 07032-3006 | |
| (201) 772-5211 | |
| (201) 428-1627 |
| Full Name | Emad Jacob, Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 714 Kearny Ave, Kearny, New Jersey |
| Authorized Official Name and Position | Emad Jacob (PHYSICIAN) |
| Authorized Official Contact | 2017725211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emad Jacob, Md Pc 714 Kearny Ave Kearny NJ 07032-3006 Ph: (201) 772-5211 | Emad Jacob, Md Pc 714 Kearny Ave Kearny NJ 07032-3006 Ph: (201) 772-5211 |
| NPI Number | 1699003194 |
|---|---|
| Provider Enumeration Date | 11/23/2009 |
| Last Update Date | 01/24/2012 |
| Medicare PECOS PAC ID | 8820261662 |
|---|---|
| Medicare Enrollment ID | O20111024000241 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699003194 | NPI | - | NPPES |
| 0179141 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA08462300 (New Jersey) | Primary |
| Provider Name | Emad Jacob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669622015 PECOS PAC ID: 3274696000 Enrollment ID: I20090106000143 |
| Provider Name | Priyankaben Gajjar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669915906 PECOS PAC ID: 3577847300 Enrollment ID: I20170223000030 |
| Provider Name | Anne Marie Hurban |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205534492 PECOS PAC ID: 0446624076 Enrollment ID: I20230323000155 |
| Provider Name | Judy Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316697675 PECOS PAC ID: 4385018589 Enrollment ID: I20230329001024 |
| Provider Name | Michela Piedra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952017725 PECOS PAC ID: 9537524046 Enrollment ID: I20230504001793 |
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