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One provider matched this enrollment ID.

Enrollment ID I20161114001066 resolves to a single NPI record. Open the full profile for complete detail.

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SJ
NPI · 1538156963 · Active
Stuart Jacob DPM
Foot & Ankle Surgery Podiatrist · Burlington, New Jersey
Active
NPI
1538156963
Enrollment ID
I20161114001066
Taxonomy
213ES0103X
Type
Practitioner - Podiatry

Medicare enrollment

This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 223483019NJ· Issued by PALMETTO RAILROAD MEDICAR
  • 0099360000· Issued by INDEPENDENCE BLUE CROSS PERSONAL CHOICE
  • J013907NJ· Issued by TRICARE
  • 0099360000· Issued by INDEPENDENCE BLUE SHIELD
  • 223483019NJ· Issued by HORIZON
  • 223483019· Issued by INDEPENDENCE BLUE
  • 4146690001NJ· Issued by DME REGION A
  • BNS146NJ· Issued by OXFORD
  • 000781126001NJ· Issued by UNITED HEALTHCARE
  • 6111499NJ· Issued by CIGNA
  • 0099360000NJ· Issued by AMERIHEALTH
  • 0183361NJ· Issued by AETNA

Medicaid

Source: NPPES public registry.

ReferenceAbout Medicare Enrollment IDs

A Medicare Enrollment ID (ENRLMT_ID) is a 15-character public identifier assigned by the CMS Provider Enrollment, Chain and Ownership System (PECOS) when a provider, supplier, or organisation enrols in Medicare. Each row reflects one enrolment record: a single NPI can hold multiple enrolments across provider types, states, or supplier categories. Data here is mirrored from the quarterly public PECOS enrolment file published on data.cms.gov.