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Contact Information

EMAD JACOB, MD
715 KEARNEY AVE
KEARNY, NJ07032
 Phone: 201-772-5211
 Fax: 201-428-1627
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for EMAD JACOB · (Male)

NPI # 1669622015
Status Active
Credentials MD
Entity Individual
Enumeration date 09/23/2008
Last updated 03/02/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA08462300
  • NJ Medicaid 0179141
Hospital affiliation(s)
  • SAINT MICHAEL'S MEDICAL CENTER INC - (Acute Care)
    111 CENTRAL AVENUE
    NEWARK, NJ 07102
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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