Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMUEL SUNNY JACOB, D.O.
ActiveSAMUEL SUNNY JACOB, D.O. is a Sports Medicine (PM&R) healthcare provider located in RIDGEWOOD, New Jersey. NPI 1134651391 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · RIDGEWOOD, NJ
Registration Details
- NPI Number
- 1134651391
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 28, 2017 (9.4222682991055 yrs)
- Last Updated
- Aug 18, 2022
- License
-
25MB11490200 (NJ)
Practice Information
- Address
-
1200 EAST RIDGEWOOD AVENUEEAST WING, SUITE 306,RIDGEWOOD, NJ, 07450Browse NJ providers · Browse ZIP 07450
- Phone
- 2016124857
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
Other Sports Medicine (PM&R) Providers in RIDGEWOOD, NJ
| Name | Credential | NPI |
|---|---|---|
| ZHI CHENG CHEN | MD | 1497215495 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.