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DR. STUART JACOB DPM NPI 1538156963


NPI Information

NPI: 1538156963
Provider Name: DR. STUART JACOB, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
319 W BROAD ST
BURLINGTON, NJ
ZIP 08016
Phone: (609) 386-0217
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DR. Stuart Jacob, DPM is a foot and ankle surgery podiatrist in Burlington, NJ with 37 years of experience. DR. Stuart Jacob, DPM NPI is 1538156963. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduation Year:1987

The provider's business location address is:

319 W BROAD ST
BURLINGTON, NJ
ZIP 08016-343
Phone: (609) 386-0217
Fax: (609) 386-2205

The NPI 1538156963 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of tissue from 1 to 5 finger or toe nails (HCPCS:11720)
  • Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)
  • Removal of tissue from wounds per session (HCPCS:97597)
  • Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Removal of 2 to 4 thickened skin growths (HCPCS:11056)

The enumeration date for this NPI number is 9/30/2005 and was last updated on 11/23/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle Surgery25MD00189200NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10099360000OTHERINDEPENDENCE BLUE SHIELD
2223483019OTHERNEW JERSEYPALMETTO RAILROAD MEDICAR
30099360000OTHERNEW JERSEYAMERIHEALTH
4BNS146OTHERNEW JERSEYOXFORD
56111499OTHERNEW JERSEYCIGNA
6T14020MEDICARE UPINNEW JERSEY
7000781126001OTHERNEW JERSEYUNITED HEALTHCARE
8J013907OTHERNEW JERSEYTRICARE
90099360000OTHERINDEPENDENCE BLUE CROSS PERSONAL CHOICE
10223483019OTHERNEW JERSEYHORIZON
11223483019OTHERINDEPENDENCE BLUE
124146690001OTHERNEW JERSEYDME REGION A
130183361OTHERNEW JERSEYAETNA
14JA423680MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY
156324401MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.