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NPI · 1134651391 · NPPES-sourced

Samuel Jacob D.O.

ActiveSports Medicine (Physical Medicine & Rehabilitation) Physician
NPI Number
1134651391
Type 1 · Individual
Contact
(201) 612-4857
License NJ · 25MB11490200
Last Updated
Enumerated
Primary practice addressNJ · 07450
1200 East Ridgewood Avenue, East Wing, Suite 306,Ridgewood, NJ 07450
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About this NPIWhat this record shows.

NPI 1134651391 is registered to Samuel Jacob D.O., a Sports Medicine (Physical Medicine & Rehabilitation) Physician practising at 1200 East Ridgewood Avenue, East Wing, Suite 306, in Ridgewood, New Jersey. Sports Medicine (Physical Medicine & Rehabilitation) Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Samuel Jacob D.O. has been enumerated in the National Provider Identifier (NPI) registry since 2017.

Provider type
Individual (Type 1)
Status
Active
Enumerated

Beyond the registryWhat this record adds.

It is enrolled in Medicare, linking to 1 PECOS enrollment record (with a public Medicare Enrollment ID) sourced from CMS, which the NPPES registry does not list. Within the directory it is one of 68 Sports Medicine (Physical Medicine & Rehabilitation) Physician providers on file in New Jersey.

Source: CMS NPPES and PECOS public files. snapshot, refreshed monthly.

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Medicare enrollment

This provider holds a Medicare enrollment 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.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Samuel Jacob D.O. accepts. To confirm in-network status with your specific health plan, contact Samuel Jacob D.O. directly at (201) 612-4857.

Frequently asked

Yes. NPI 1134651391 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Sports Medicine (Physical Medicine & Rehabilitation) Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (201) 612-4857.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Samuel Jacob D.O. is a Type-1 individual NPI.

As of the latest monthly CMS NPPES snapshot, 68 Sports Medicine (Physical Medicine & Rehabilitation) Physician providers are registered in New Jersey, and Samuel Jacob D.O. is one of them. The figure refreshes each month from the federal source.

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Quick facts

Provider typeIndividual
Taxonomy2081S0010X
Last updated
Enumerated
StatusActive
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Same specialtyOther Sports Medicine (Physical Medicine & Rehabilitation) Physician providers in New Jersey.

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