PETER JACOB (NPI# 1639633118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639633118 |
| Entity Type | Individual |
| Full Name | PETER JACOB |
| Credential | LSW |
| Practice Address |
655 Westfield Ave Elizabeth NJ 07208-1325 |
| Practice Telephone | 9083528375 |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2019-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295802148 | Peter J. Jacob | Obstetrics & Gynecology | 13652 Cantara St, Panorama City, CA 91402-5423 | 2006-11-29 |
| Street Address |
655 WESTFIELD AVE |
| City | ELIZABETH |
| State | NJ |
| Zip Code | 07208-1325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518051572 | Jewish Family Service Agency of Central Jersey | Social Worker | 655 Westfield Ave, Elizabeth, NJ 07208-1325 | 2006-10-03 |
| 1750989331 | Mary Glynos | Social Worker | 655 Westfield Ave, Elizabeth, NJ 07208-1325 | 2020-10-15 |
| 1720685092 | Jacob Daniel Savitt | Psychologist | 655 Westfield Ave, Elizabeth, NJ 07208-1398 | 2020-10-08 |
| 1649887977 | Melanie Pazmino | Student in an Organized Health Care Education/Training Program | 655 Westfield Ave, Elizabeth, NJ 07208 | 2020-09-30 |
| 1346857406 | Shannon Pentz | Student in an Organized Health Care Education/Training Program | 655 Westfield Ave, Elizabeth, NJ 07208-1325 | 2020-09-23 |
| 1447895701 | Wilma Campos-sekou | Student in an Organized Health Care Education/Training Program | 655 Westfield Ave, Elizabeth, NJ 07208-1398 | 2019-11-11 |
| 1669021788 | Jacqueline Noemi Lopez | Social Worker | 655 Westfield Ave, Elizabeth, NJ 07208-1325 | 2019-09-11 |
| 1134778483 | Emily A Fasulo | Social Worker | 655 Westfield Ave, Elizabeth, NJ 07208-1325 | 2019-09-10 |
| 1942858527 | Yvette Altagracia Reynoso | Student in an Organized Health Care Education/Training Program | 655 Westfield Ave, Elizabeth, NJ 07208-1398 | 2019-08-28 |
| 1841846557 | Pamela Gabriele | Social Worker | 655 Westfield Ave, Elizabeth, NJ 07208-1325 | 2019-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225591571 | Real House Inc | Clinic/Center | 419-421 Westminster Ave, Elizabeth, NJ 07208 | 2019-04-12 |
| 1548736531 | Conscientiamd | Psychiatry & Neurology | 650-652 Newark Avenue, 1st Floor, Elizabeth, NJ 07208 | 2018-10-17 |
| 1093292492 | Community Access Unlimited Inc | Community/Behavioral Health | 1470 Lower Road, Ground Floor, Elizabeth, NJ 07208 | 2018-07-27 |
| 1457736092 | Community Access Unlimited Inc | Community/Behavioral Health | 1470 Lower Rd, Elizabeth, NJ 07208 | 2015-07-24 |
| 1811318595 | Terrell N Alston | Social Worker | 644 Salem Ave 2b, Elizabeth, NJ 07208 | 2013-12-23 |
| 1316220759 | Anarita Delacruz | Massage Therapist | 570 North Broad Street, Suite 10, Elizabeth, NJ 07208 | 2011-09-22 |
| 1972820041 | Pain Center of Morris | Chiropractor | 332 Morris Ave., Elizabeth, NJ 07208 | 2010-04-28 |
| 1760696512 | Elizabeth Public Schools | Local Education Agency (LEA) | 27 Prince Street, 2nd. Floor, Elizabeth, NJ 07208 | 2007-05-10 |
| 1437288339 | Kathleen E. Russo | Social Worker | Jewish Family Services, 655 Westfield Ave., Elizabeth, NJ 07208 | 2007-03-05 |
| 1649337171 | Springfield Pediatrics, P.a. | Pediatrics | 435 Elmora Avenue, Elizabeth, NJ 07208 | 2007-01-03 |
| Find all providers in zip 07208 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609410513 | Yaminah Polanco | Social Worker | 371 Morris Ave, Elizabeth, NJ 07208-3616 | 2019-11-04 |
| 1851866016 | Michael Bleicher | Social Worker | 153 Keats Ave, Elizabeth, NJ 07208-1051 | 2018-10-03 |
| 1407373939 | Elizabeth Moree | Social Worker | 650 E Walnut Unit C, Elizabeth, CO 80107-4519 | 2017-08-25 |
| 1386161826 | Anastasia Romero | Social Worker | 650 E. Walnut Unit C, Elizabeth, CO 80107 | 2017-08-25 |
| 1912444001 | Kenneth Robertson | Social Worker | 650 East Walnit, Elizabeth, CO 80107 | 2017-01-26 |
| 1083091896 | Monica Armijo | Social Worker | 650 E. Walniut, Elizabeth, CO 80701 | 2015-04-30 |
| 1811318595 | Terrell N Alston | Social Worker | 644 Salem Ave 2b, Elizabeth, NJ 07208 | 2013-12-23 |
| 1972932457 | Anne Kate Sherman | Social Worker | 750 N Broad St, Apt. 1c, Elizabeth, NJ 07208-2468 | 2013-11-05 |
| 1558799841 | Kristen Allen | Social Worker | 629 Livingston St, Elizabeth, NJ 07206-1325 | 2013-10-23 |
| 1881021129 | Julie Allison Sorrell | Social Worker | 80 West Grand Street, Elizabeth, NJ 07202 | 2013-10-01 |
| Find all providers in ELIZABETH | ||||
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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.