DR. MACK D JACOBS (NPI# 1386795870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386795870 |
| Entity Type | Individual |
| Full Name | DR. MACK D JACOBS |
| Credential | D.P.M. |
| Practice Address |
16 Pocono Rd Suite 115 Denville NJ 07834-2901 |
| Practice Telephone | 9736251163 |
| Mailing Telephone | 9736251163 |
| Enumeration Date | 2007-01-13 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
MD 1085 | NJ | Podiatric Medicine & Surgery Service Providers |
| Street Address |
16 POCONO RD SUITE 115 |
| City | DENVILLE |
| State | NJ |
| Zip Code | 07834-2901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629072046 | Yihong H. Cheng | Internal Medicine | 16 Pocono Rd, Suite 317, Denville, NJ 07834-2901 | 2005-06-13 |
| 1255883716 | Gady Berkovich | Nurse Practitioner | 16 Pocono Rd, Suit 208, Denville, NJ 07834-2901 | 2016-11-01 |
| 1457734311 | Advocare, LLC | Obstetrics & Gynecology | 16 Pocono Rd, Suite 105, Denville, NJ 07834-2901 | 2015-07-09 |
| 1639551518 | Dawn Rivera | Social Worker | 16 Pocono Rd, Suite 112, Denville, NJ 07834-2901 | 2015-06-26 |
| 1508245085 | Primary Care Partners, LLC | Pediatrics | 16 Pocono Rd, Suite 214, Denville, NJ 07834-2901 | 2015-05-29 |
| 1700279221 | Brian Shrager Md LLC | Surgery | 16 Pocono Rd, Suite 208, Denville, NJ 07834-2901 | 2015-03-09 |
| 1326445834 | Caitlin A Smith | Nurse Practitioner | 16 Pocono Rd, Denville, NJ 07834-2901 | 2014-11-26 |
| 1871997478 | Sandra L Wright | Nurse Practitioner | 16 Pocono Rd, Suite 110, Denville, NJ 07834-2901 | 2014-10-10 |
| 1295141547 | Primary Care Partners LLC | Family Medicine | 16 Pocono Rd, Suite 110, Denville, NJ 07834-2901 | 2014-07-08 |
| 1154753051 | Kristofer K Steingall | Physician Assistant | 16 Pocono Rd, Suite 100, Denville, NJ 07834-2901 | 2013-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891304622 | Rosemarie Proven-fahy | Social Worker | 3175 Rt. 10 Building C, Suite 700, Denville, NJ 07834 | 2020-07-28 |
| 1568083327 | Anand Jetti | Student in an Organized Health Care Education/Training Program | Prime Healthcare Consortium At St. Mary's General Hospi, 25 Pocono Road, Denville, NJ 07834 | 2020-05-04 |
| 1265088892 | Absolute Awakenings Treatment Center LLC | Clinic/Center | 3000 Route 10 West, Denville, NJ 07834 | 2019-08-09 |
| 1326607243 | Recovery Zone Solutions, LLC | Clinic/Center | 124 East Main Street, Ste#109, Denville, NJ 07834 | 2019-06-13 |
| 1477022770 | Green Leaf Dentistry, LLC | Dentist | 3155 Route 10, Suite 201, Denville, NJ 07834 | 2018-11-15 |
| 1366955528 | Megan D Lukany | Social Worker | 4 2nd Ave Ste 208-b, Denville, NJ 07834 | 2017-11-09 |
| 1235680430 | Jennifer Jeanty | Nurse Practitioner | 280 W Main St Fl 2, Denville, NJ 07834 | 2016-10-22 |
| 1689129942 | Alejandro Castano | Dentist | 16 Pocono Rd Ste 213, Denville, NJ 07834 | 2016-08-16 |
| 1265830830 | Denville Physical Therapy, LLC | Physical Therapist | 3155 Rte 10 E, Suite 112, Denville, NJ 07834 | 2014-12-15 |
| 1538565577 | Michael T. Cocuzza | Counselor | 76 Broadway Ste 200h, Denville, NJ 07834 | 2014-11-18 |
| Find all providers in zip 07834 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669612099 | Gerald I Bresner PC | Podiatrist | 75 Bloomfield Ave, Ste 106, Denville, NJ 07834-2735 | 2009-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780296731 | Clinical Health Care Associates of New Jersey PC | Podiatrist | 5000 Dearborn Cir, Mount Laurel, NJ 08054-4108 | 2020-08-20 |
| 1144788183 | Hudson Ortho Group | Podiatrist | 444 Market St Ste 2a, Saddle Brook, NJ 07663-5996 | 2019-03-08 |
| 1134684970 | Hudson Ortho Group | Podiatrist | 1320 Adams St Ste E, Hoboken, NJ 07030-2370 | 2019-02-06 |
| 1629551908 | Jonathan Roy Dpm PC | Podiatrist | 140 N Rte 17 Ste 103, Paramus, NJ 07652-2809 | 2018-09-12 |
| 1881186641 | Wayne J Caputo Dpm | Podiatrist | 5 S Franklin Avenue, Belleville, NJ 07109 | 2018-06-06 |
| 1720517360 | North Plainfield Podiatry | Podiatrist | 654 Mount Prospect Ave # 301, Newark, NJ 07104-3110 | 2017-06-07 |
| 1366844870 | Urwah Haq | Podiatrist | 1529 Route 206 Ste L, Tabernacle, NJ 08088-8801 | 2014-09-16 |
| 1023372653 | Alicia Lai | Podiatrist | 3003 English Creek Ave Ste C5, Egg Harbor Township, NJ 08234-4818 | 2012-06-28 |
| 1073825535 | Rhonda Lynn Hazell | Podiatrist | 900 Pear St, Cinnaminson, NJ 08077-1922 | 2010-07-12 |
| 1497988737 | Podiatry House Calls, LLC | Podiatrist | 225 N Gladstone Ave, Margate City, NJ 08402-1705 | 2009-09-03 |
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| 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.