MRS. SOPHIAMMA A JACOB (NPI# 1326437856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326437856 |
| Entity Type | Individual |
| Full Name | MRS. SOPHIAMMA A JACOB |
| Credential | NP |
| Practice Address |
26 Throckmorton Ln Old Bridge NJ 08857-2520 |
| Mailing Address |
20 Goshawk Ct Morganville NJ 07751-1073 |
| Practice Telephone | 7326799950 |
| Practice Fax Number | 7326799956 |
| Mailing Telephone | 7325912255 |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2015-01-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
26NJ00527100 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
26 THROCKMORTON LN |
| City | OLD BRIDGE |
| State | NJ |
| Zip Code | 08857-2520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225197320 | Joseph Mathew | Internal Medicine | 26 Throckmorton Ln, Old Bridge, NJ 08857-2520 | 2006-12-06 |
| 1205442316 | Michele Duffy | Physician Assistant | 26 Throckmorton Ln, Old Bridge, NJ 08857-2578 | 2020-09-23 |
| 1194347500 | Vittoria Contuzzi | Physician Assistant | 26 Throckmorton Ln, Old Bridge, NJ 08857-2578 | 2020-05-08 |
| 1174173249 | Binal Hitesh Patel | Nurse Practitioner | 26 Throckmorton Ln, Old Bridge, NJ 08857-2578 | 2019-09-19 |
| 1124537964 | Kaleena Kenny | Nurse Practitioner | 26 Throckmorton Ln, Old Bridge, NJ 08857-2520 | 2017-09-25 |
| 1942754775 | Myrna T. Rivera | Nurse Practitioner | 26 Throckmorton Ln, Old Bridge, NJ 08857-2578 | 2016-08-10 |
| 1649649344 | Namrata Jani | Nurse Practitioner | 26 Throckmorton Ln, Old Bridge, NJ 08857-2520 | 2015-09-23 |
| 1235507476 | Aishwarya R Nair | Nurse Practitioner | 26 Throckmorton Ln, Old Bridge, NJ 08857-2520 | 2015-09-03 |
| 1720456130 | Main Avenue Clifton Surgery Center, LLC | Clinic/Center | 26 Throckmorton Ln, Floor 2, Old Bridge, NJ 08857-2520 | 2015-09-02 |
| 1205227030 | Advanced Interventional Pain Management Center, LLC | Clinic/Center | 26 Throckmorton Ln, Second Floor, Old Bridge, NJ 08857-2520 | 2015-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508463886 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1007 Highway Route 9n, Old Bridge, NJ 08857 | 2020-10-08 |
| 1962910703 | John Hubert Jaeger | Chiropractor | 3883 Route 516, Old Bridge, NJ 08857 | 2018-01-15 |
| 1770097347 | Cindy Zhang | Nurse Practitioner | 3 Hospital Plz Ste 208, Old Bridge, NJ 08857 | 2017-11-18 |
| 1639688542 | Courtney M Demaio | Social Worker | 20 Bertrand St., Old Bridge, NJ 08857 | 2017-09-22 |
| 1861921983 | Erica Marriaga | Social Worker | 9c Spruce Lane, Apartment C, Old Bridge, NJ 08857 | 2017-06-12 |
| 1730615493 | New Jersey Institute for Disabilities, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 401 Matchaponix Rd, Old Bridge, NJ 08857 | 2017-05-02 |
| 1033581715 | Akriti Sharma | Physical Therapist | 14 Woodward Drive, Old Bridge, NJ 08857 | 2015-10-21 |
| 1376925990 | Central Old Bridge Emergency Medical Service Inc | Ambulance | 133 Ticetown Road, Old Bridge, NJ 08857 | 2015-06-19 |
| 1609283779 | Stephanie Detone | Audiologist | 3663 Route 9 North, Old Bridge, NJ 08857 | 2014-07-21 |
| 1326461963 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2825 Hwy Route 18, Old Bridge, NJ 08857 | 2014-02-03 |
| Find all providers in zip 08857 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427523273 | Cara Christie Sottile | Nurse Practitioner | 42 Throckmorton Ln Ste 211a, Old Bridge, NJ 08857-2572 | 2018-10-08 |
| 1770097347 | Cindy Zhang | Nurse Practitioner | 3 Hospital Plz Ste 208, Old Bridge, NJ 08857 | 2017-11-18 |
| 1578988978 | Francis John Rella | Nurse Practitioner | 8 Southwood Dr, Old Bridge, NJ 08857-1452 | 2014-02-22 |
| 1063780450 | Irina Novikov | Nurse Practitioner | 3663 Route 9 North, Suite #103, Old Bridge, NJ 08857 | 2011-12-13 |
| 1649649344 | Namrata Jani | Nurse Practitioner | 26 Throckmorton Ln, Old Bridge, NJ 08857-2520 | 2015-09-23 |
| 1639310725 | Barbara Wyczesany | Nurse Practitioner | 200 Perrine Rd, Suite 211, Old Bridge, NJ 08857-2842 | 2009-03-18 |
| 1043496714 | Patricia K Zdan | Nurse Practitioner | 499 Marlboro Rd, Suite 1, Old Bridge, NJ 08857-3746 | 2008-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133175 | Kristy Liekfet | Nurse Practitioner | Atlanticare Apg Palliative Care, 1925 Pacific Ave. 1st Flr, Atlantic City, NJ 08401 | 2020-10-29 |
| 1609476761 | Remya Uthup | Nurse Practitioner | 240 Main St Apt 418, Hackensack, NJ 07601-5745 | 2020-10-28 |
| 1083213524 | Joann Michelle Munoz | Nurse Practitioner | 11 Highland Pl, Ridgefield Park, NJ 07660-1203 | 2020-10-24 |
| 1669071775 | Destiny Medical Practice LLC | Nurse Practitioner | 10 Amara Ln, Westampton, NJ 08060-5753 | 2020-10-20 |
| 1912505918 | Lamercie Brasier | Nurse Practitioner | 55 Valley Way, West Orange, NJ 07052-5829 | 2020-10-12 |
| 1568069912 | Christine B Adams | Nurse Practitioner | 75 Lane Rd, Fairfield, NJ 07004-1044 | 2020-10-07 |
| 1255938361 | Maryjoy Marzan | Nurse Practitioner | Hope Tower - Jersey Shore University Medical Center, 19 Davis St 6th Floor, Neptune, NJ 07753 | 2020-10-02 |
| 1235746553 | Ellen Smith | Nurse Practitioner | 340 Airis Dr., Suite 203, Newark, NJ 07114 | 2020-09-30 |
| 1861009342 | Maria Angela Flores | Nurse Practitioner | 482 William Way N, Wyckoff, NJ 07481-1722 | 2020-09-28 |
| 1437764545 | Alison O'neill | Nurse Practitioner | 720 Monroe St Ste E407, Hoboken, NJ 07030-6356 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
| City | OLD BRIDGE |
| Zip Code | 08857 |
Please comment or provide details below to improve the information on MRS. SOPHIAMMA A JACOB.
| 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.