JACOB SAGE (NPI# 1912072109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912072109 |
| Entity Type | Individual |
| Full Name | JACOB SAGE |
| Credential | MD |
| Practice Address |
125 Paterson St Clinical Academic Building - Suite 6100 New Brunswick NJ 08901-1962 |
| Mailing Address |
66 W Gilbert St 2nd Floor Tinton Falls NJ 07701-4947 |
| Practice Telephone | 7322357733 |
| Mailing Telephone | 7322120051 |
| Mailing Fax Number | 7322120713 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2011-09-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
25MA02762200 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | RR MCR PTAN | 130005904 | 01 |
| NJ | 1903802 | 05 |
| Street Address |
125 PATERSON ST CLINICAL ACADEMIC BUILDING - SUITE 6100 |
| City | NEW BRUNSWICK |
| State | NJ |
| Zip Code | 08901-1962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942293881 | Stephen Wong | Family Medicine | 125 Paterson St, Suite 5100, New Brunswick, NJ 08901-1962 | 2005-08-25 |
| 1073121109 | Abdul Khayyam Mohammed | Student in an Organized Health Care Education/Training Program | 125 Paterson St, New Brunswick, NJ 08901-1962 | 2020-07-15 |
| 1639796709 | Sophia Rodriguez | Genetic Counselor, MS | 125 Paterson St, New Brunswick, NJ 08901-1962 | 2020-07-06 |
| 1477179216 | Morgan Dunn | Student in an Organized Health Care Education/Training Program | 125 Paterson St, New Brunswick, NJ 08901-1962 | 2020-06-17 |
| 1568087419 | Devika Sachdev | Student in an Organized Health Care Education/Training Program | 125 Paterson St, New Brunswick, NJ 08901-1962 | 2020-06-16 |
| 1174148027 | Natalie M Dicenzo | Student in an Organized Health Care Education/Training Program | 125 Paterson St, New Brunswick, NJ 08901-1962 | 2020-06-16 |
| 1477172831 | Alain Kaldany | Student in an Organized Health Care Education/Training Program | 125 Paterson St, New Brunswick, NJ 08901-1962 | 2020-04-15 |
| 1548899396 | Abigail Brenda Bergman | Student in an Organized Health Care Education/Training Program | 125 Paterson St, New Brunswick, NJ 08901-1962 | 2020-04-03 |
| 1013545292 | Benjamin Horowitz | Student in an Organized Health Care Education/Training Program | 125 Paterson St, New Brunswick, NJ 08901-1962 | 2020-04-01 |
| 1356979520 | Jeremy Silver | Student in an Organized Health Care Education/Training Program | 125 Paterson St, New Brunswick, NJ 08901-1962 | 2020-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083242622 | Daniel Kareem Haddad | Student in an Organized Health Care Education/Training Program | 1 Robert Wood Johnson Place, Meb 422a, New Brunswick, NJ 08901 | 2020-03-30 |
| 1922636588 | Neil Anjan Basumallik | Student in an Organized Health Care Education/Training Program | Rutgers Rwjms, Department of Medicine, 125 Paterson Street. Cab 7300, New Brunswick, NJ 08901 | 2020-03-30 |
| 1922636406 | Naveena Lall | Student in an Organized Health Care Education/Training Program | Rutgers Robert Wood Johnson Internal Medicine Residency, 125 Paterson Street, New Brunswick, NJ 08901 | 2020-03-30 |
| 1801444047 | Swati Vijay Dhobale | Student in an Organized Health Care Education/Training Program | Saint Peter's University Hospital, 254 Easton Avenue, 4th Floor, Cares Room 4014, New Brunswick, NJ 08901 | 2019-08-30 |
| 1962974329 | Lauren Burgstresser | Nurse Practitioner | 181 Somerset Street, 3rd Floor, New Brunswick, NJ 08901 | 2018-12-26 |
| 1851874291 | Damon House Inc. | Substance Abuse Rehabilitation Facility | 105 Joyce Kilmer Ave, New Brunswick, NJ 08901 | 2018-09-12 |
| 1245718204 | Leah Dinardo | Psychologist | 61 Nichol Ave, New Brunswick, NJ 08901 | 2018-08-01 |
| 1730667130 | Keshav Bhandari | Student in an Organized Health Care Education/Training Program | Saint Peters University Hospital, 254 Easton Avenue, 4th Floor Cares, Rm 4014, New Brunswick, NJ 08901 | 2018-07-30 |
| 1942787486 | Mehak Bassi | Student in an Organized Health Care Education/Training Program | 4th Floor Cares, Rm 4014 240 Easton Avenue, New Brunswick, NJ 08901 | 2018-07-27 |
| 1063908754 | Oluwatoba Opeyemi Moninuola | Student in an Organized Health Care Education/Training Program | 4th Floor Cares, Rm 4014, 240 Easton Avenue, New Brunswick, NJ 08901 | 2018-07-05 |
| Find all providers in zip 08901 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225551146 | Bindi Akshay Patel | Psychiatry & Neurology | 125 Paterson St Ste 6100, New Brunswick, NJ 08901-1962 | 2017-07-23 |
| 1104124643 | Jennifer Yu-chia Chen | Psychiatry & Neurology | 125 Paterson St Ste 6200, New Brunswick, NJ 08901-1962 | 2011-03-08 |
| 1164734687 | Emad Nourollah-zadeh | Psychiatry & Neurology | Robert Wood Johnson University Hospital, 125 Paterson Street, New Brunswick, NJ 08901 | 2010-07-13 |
| 1841519527 | Matthew T Scharf | Psychiatry & Neurology | 125 Paterson St Ste 5200b, New Brunswick, NJ 08901-1962 | 2010-05-20 |
| 1801003199 | Ram Mani | Psychiatry & Neurology | 125 Paterson St, Suite 6100, Umdnj-rwjms, Cab - Dept of Neurology, New Brunswick, NJ 08901 | 2007-05-17 |
| 1255406443 | Brenda Wu | Psychiatry & Neurology | 90 Paterson St, Ste 100, New Brunswick, NJ 08901-2109 | 2006-11-22 |
| 1659758035 | Raymond Mirasol | Psychiatry & Neurology | 125 Paterson St Ste 4100, New Brunswick, NJ 08901-1962 | 2015-05-05 |
| 1710240254 | Ram Gowda | Psychiatry & Neurology | 125 Paterson St Ste 6200, New Brunswick, NJ 08901-1962 | 2012-06-20 |
| 1831455005 | Brad Kamitaki | Psychiatry & Neurology | 125 Paterson St Ste 6200, New Brunswick, NJ 08901-1962 | 2012-04-02 |
| 1063788404 | Roger C Cheng | Psychiatry & Neurology | 125 Paterson St Ste 6200, New Brunswick, NJ 08901-1962 | 2012-03-29 |
| Find all providers in NEW BRUNSWICK | ||||
| City | NEW BRUNSWICK |
| Zip Code | 08901 |
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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.