DR. STUART JACOB (NPI# 1538156963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538156963 |
| Entity Type | Individual |
| Full Name | DR. STUART JACOB |
| Credential | DPM |
| Practice Address |
319 W Broad St Burlington NJ 08016-1343 |
| Practice Telephone | 6093860217 |
| Practice Fax Number | 6093862205 |
| Mailing Telephone | 6093860217 |
| Mailing Fax Number | 6093862205 |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2009-11-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
25MD00189200 | NJ | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| INDEPENDENCE BLUE CROSS PERSONAL CHOICE | 0099360000 | 01 | |
| NJ | OXFORD | BNS146 | 01 |
| NJ | HORIZON | 223483019 | 01 |
| INDEPENDENCE BLUE | 223483019 | 01 | |
| NJ | UNITED HEALTHCARE | 000781126001 | 01 |
| NJ | AMERIHEALTH | 0099360000 | 01 |
| INDEPENDENCE BLUE SHIELD | 0099360000 | 01 | |
| NJ | CIGNA | 6111499 | 01 |
| NJ | PALMETTO RAILROAD MEDICAR | 223483019 | 01 |
| NJ | 6324401 | 05 | |
| NJ | TRICARE | J013907 | 01 |
| NJ | DME REGION A | 4146690001 | 01 |
| NJ | AETNA | 0183361 | 01 |
| Street Address |
319 W BROAD ST |
| City | BURLINGTON |
| State | NJ |
| Zip Code | 08016-1343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821453960 | Alexis Lund | Podiatrist | 319 W Broad St, Burlington, NJ 08016-1343 | 2015-12-16 |
| 1891123915 | New Jersey Podiatric Physicians & Surgeons Group LLC | Podiatrist | 319 W Broad St, Burlington, NJ 08016-1343 | 2013-10-29 |
| 1942236278 | Stuart Jacob Dpm Pa | Podiatrist | 319 W Broad St, Burlington, NJ 08016-1343 | 2006-06-26 |
| 1558358739 | William J Green | Podiatrist | 319 W Broad St, Burlington, NJ 08016-1343 | 2005-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306487780 | Neighbours-inc | Community/Behavioral Health | 409 Domininque Court, Burlinton, NJ 08016 | 2019-10-07 |
| 1881163368 | Stacie Lynn Wible | Speech-Language Pathologist | 34 Mohawk Trail, Burlington, NJ 08016 | 2018-11-14 |
| 1619495520 | Oaks Integrated Care | Clinic/Center | 2000 Burlington Bypass, Burlington, NJ 08016 | 2017-08-31 |
| 1700312113 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 16 Mohr Rd, Burlington, NJ 08016 | 2017-05-04 |
| 1013443431 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 16 Lardner Rd, Burlington, NJ 08016 | 2017-05-04 |
| 1174976955 | Dungarvin New Jersey, LLC-yubas | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 22 Yubas Ave, Burlington, NJ 08016 | 2016-07-18 |
| 1477946937 | Sina Durham | Counselor | 1 Beechwood Lane, Burlington, NJ 08016 | 2015-03-09 |
| 1336568138 | Olayinka I Akeju | Counselor | 129 Riverwalk Blvd, Burlington Township, NJ 08016 | 2014-04-09 |
| 1477980316 | Tia Jones | Counselor | 2000 Burlington By-pass, Burlington, NJ 08016 | 2013-10-10 |
| 1407282304 | Ashley Taylor Phillips | Pharmacist | 2 West Route 130 South, Burlington, NJ 08016 | 2013-09-24 |
| Find all providers in zip 08016 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740478130 | Burlington Foot and Ankle Center | Podiatrist | 428 Alamance Rd Ste C, Burlington, NC 27215-5500 | 2007-10-10 |
| 1780607200 | Michael Edward Kokat | Podiatrist | 1050 S Milwaukee Ave, Suite 102, Burlington, WI 53105-1362 | 2006-07-25 |
| 1275933293 | Burlington Podiatry Associates | Podiatrist | 281 Cambridge St, Burlington, MA 01803-2543 | 2014-08-27 |
| 1891123915 | New Jersey Podiatric Physicians & Surgeons Group LLC | Podiatrist | 319 W Broad St, Burlington, NJ 08016-1343 | 2013-10-29 |
| 1386852580 | Robert S. Stipek, D.p.m. | Podiatrist | 265 Winn St, Burlington, MA 01803-2616 | 2007-05-19 |
| 1942236278 | Stuart Jacob Dpm Pa | Podiatrist | 319 W Broad St, Burlington, NJ 08016-1343 | 2006-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350120 | Lower Limb Institute | Podiatrist | 211 Esses Street, Suite 405, Hackesack, NJ 07601 | 2020-09-09 |
| 1275162315 | Mercer-ocean Podiatry | Podiatrist | 666 Plainsboro Rd Ste 1050, Plainsboro, NJ 08536-3044 | 2020-04-01 |
| 1386279552 | Liberty Med Associates LLC | Podiatrist | 1 Bethany Rd Ste 21, Hazlet, NJ 07730-1660 | 2020-03-09 |
| 1659905685 | New Jersey Podiatric Physicians & Surgeons Group LLC | Podiatrist | 132 Franklin Corner Rd Ste C1, Lawrenceville, NJ 08648-2523 | 2020-02-28 |
| 1891270609 | Syracuse Medical LLC | Podiatrist | 5 Franklin Ave Ste 103, Belleville, NJ 07109-3521 | 2018-09-27 |
| 1912481946 | Dr Emad Youssef Podiatry LLC | Podiatrist | 14 W 11th St Fl 1, Bayonne, NJ 07002-2508 | 2018-09-14 |
| 1932686334 | Kinetic Foot and Ankle, LLC | Podiatrist | 1030 Mcbride Ave Unit 103, Woodland Park, NJ 07424-2535 | 2018-07-27 |
| 1346730215 | J M Podiatry Associates PC | Podiatrist | 121 Route 31 Ste 700, Flemington, NJ 08822-5754 | 2018-05-15 |
| 1235629783 | Belvidere Foot & Ankle LLC | Podiatrist | 8 Greenwich St, Belvidere, NJ 07823-1421 | 2018-05-10 |
| 1093217622 | Active Podiatry LLC | Podiatrist | 7823 Bergenline Ave Fl 2, North Bergen, NJ 07047-4942 | 2018-02-28 |
| Find all providers with the same taxonomy | ||||
| City | BURLINGTON |
| Zip Code | 08016 |
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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.