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Contact Information

JACOB H JACOBY, MD PHD
654 AVE C
SUITE 201
BAYONNE, NJ07002
 Phone: 201-339-0323
 Fax: 201-339-0349
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for JACOB H JACOBY · (Male)

NPI Number 1174648232
Status Active
Credentials MD PHD
Entity Individual
Enumeration date 03/20/2007
Last updated 06/16/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 46259
  • NY License # 156653-1
  • NY Other 088BV1 MEDICARE
Hospital affiliation(s)
  • BAYONNE HOSPITAL CENTER - (Acute Care)
    29 EAST 29TH ST
    BAYONNE, NJ 07002
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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