DANA B. JACOBY, MD, LLC (NPI# 1174746846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174746846 |
| Entity Type | Organization |
| Organization Name | DANA B. JACOBY, MD, LLC |
| Practice Address |
766 Shrewsbury Avenue 4th Floor Tinton Falls NJ 07724 |
| Practice Telephone | 7325304545 |
| Practice Fax Number | 7325305741 |
| Mailing Telephone | 7325304545 |
| Mailing Fax Number | 7325305741 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2011-07-12 |
| Authorized Official Name | DANA JACOBY (DIRECTOR) |
| Authorized Official Telephone | 7325304545 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
959061 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
766 SHREWSBURY AVENUE 4TH FLOOR |
| City | TINTON FALLS |
| State | NJ |
| Zip Code | 07724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437719788 | Zsanae Lewis | Driver | 1 Main St Unit 401, Eatontown, NJ 07724 | 2019-06-18 |
| 1417419169 | Refocus | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 613 Hope Road, Building 5 and 2, Eatontown, NJ 07724 | 2019-04-02 |
| 1215401575 | Angela Fordham-lewis | Day Training/Habilitation Specialist | 613 Hope Road, Building #2, Eatontown, NJ 07724 | 2019-01-18 |
| 1174094312 | Patti Kousoulis | Counselor | 10 Industrial Way East, Eatontown, NJ 07724 | 2018-12-16 |
| 1649745589 | Jersey Shore Dental Spa LLC | Dentist | 613 Hope Road Building 5, Eatontown, NJ 07724 | 2018-10-08 |
| 1487135448 | A2z Diagnostics LLC | Pathology | 6 Industrial Way W Ste F19, Eatontown, NJ 07724 | 2018-08-27 |
| 1942708268 | Elyce Jackson | Counselor | 10 Industrial Way, Eatontown, NJ 07724 | 2018-02-01 |
| 1477065894 | The Arc of Monmouth, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 36 Country Club Road Apt. 249, Eatontown, NJ 07724 | 2017-10-25 |
| 1639681059 | The Arc of Monmouth, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 36 Country Club Road Apt. 277, Eatontown, NJ 07724 | 2017-10-25 |
| 1669998100 | Seacrest Recovery Center North Jersey, LLC | Psychologist | 162 Highway 35, Eatontown, NJ 07724 | 2017-08-16 |
| Find all providers in zip 07724 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063916716 | Women Physician LLC | Obstetrics & Gynecology | 840 Bergen Ave, Jersey City, NJ 07306-4507 | 2018-03-19 |
| 1922426485 | Kristina Williams | Obstetrics & Gynecology | 6100 Main Street Complex, 901 Centennial Blvd, Voorhees, NJ 08043-0000 | 2014-04-02 |
| 1811311392 | Manfred David Epstein | Obstetrics & Gynecology | 64 Jane Ct, Westbury, NJ 11590 | 2014-02-05 |
| 1639486756 | Edio John Zampaglione | Obstetrics & Gynecology | 33 Kanouse Ln, Montville, NJ 07045-9535 | 2010-09-10 |
| 1083898035 | Joseph A. Raimondi | Obstetrics & Gynecology | 1312 Todd Rd, Toms River, NJ 08755-2126 | 2007-12-27 |
| 1245424860 | Underwood Prenatal Care Program | Obstetrics & Gynecology | 543 N Broad St, Woodbury, NJ 08096-1603 | 2007-08-28 |
| 1841409075 | Kasthuri Pothiraj | Obstetrics & Gynecology | 6 Goldenpond Dr, Milltown, NJ 08850-2181 | 2007-05-22 |
| 1972687473 | Regina T Sullivan | Obstetrics & Gynecology | 985 Belvidere Rd, Phillipsburg, NJ 08865-1778 | 2006-10-24 |
| 1811099351 | Peter Louis Delotto II | Obstetrics & Gynecology | 4 Jonathan Smith Rd, Morristown, NJ 07960-3409 | 2006-09-04 |
| 1588772859 | Obstetrical&gnecological Group of Perth Amboy Edison P.a | Obstetrics & Gynecology | 511 New Brunswick Ave, Perth Amboy, NJ 08861-3655 | 2006-08-28 |
| Find all providers with the same taxonomy | ||||
| City | TINTON FALLS |
| Zip Code | 07724 |
Please comment or provide details below to improve the information on DANA B. JACOBY, MD, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.