Jacoby, Jacob H

Jacoby, Jacob H is an individual health care provider with primary practice located at 654 Ave C Suite 201, Bayonne NJ 07002. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Jacoby, Jacob H can be contacted via phone (201) 339-0323.

Contact Information

Primary practice address
654 Ave C Suite 201 Bayonne NJ 07002
Phone: (201) 339-0323
Fax: (201) 339-0349
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 46259 New Jersey
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 156653-1 New York
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 46259 New Jersey
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 156653-1 New York

Profile Details

NPI number 1174648232
LBN Legal business name Jacoby, Jacob H
Credentials MD PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
Last updated Jun 16th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174648232 NPPES
New York Other 088BV1 MEDICARE

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