SAMUEL S. JACOB D.O. – NPI #1134651391
Physical Medicine & Rehabilitation

A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.

Health Care Provider Taxonomy Code for Physical Medicine & Rehabilitation

SAMUEL JACOB is a physician located in RIDGEWOOD, NJ. NPPES has assigned the NPI number 1134651391 to SAMUEL JACOB on March 28, 2017. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2081S0010X from the Health Care Provider Taxonomy code set, which is classified as Physical Medicine & Rehabilitation, specializing in Sports Medicine

The NPI profile was previously updated about 4 years ago on Aug 18, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SAMUEL JACOB below.

NPI Profile for
SAMUEL S. JACOB

NPI Number
1134651391
Enumeration Date

(more than 9 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
SAMUEL S. JACOB
Credentials
D.O.
Primary location
1200 EAST RIDGEWOOD AVENUE
EAST WING, SUITE 306,
RIDGEWOOD, NJ 07450
Phone: (201) 612-4857 Fax:
Mailing address
18 MARTINO WAY
POMONA, NY 10970-2649
Phone: (914) 318-0088 Fax:
Sole Proprietor
No
Updated
Certification Date
Aug 18, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2081S0010X
- Physical Medicine & Rehabilitation / Sports Medicine (Primary)		 NJ 25MB11490200

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
NATIONAL COLLEGE OF CHIROPRACTIC - Graduated 2017
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
SAMUEL JACOB is affiliated with the following medical group(s):
  • HOSPITAL
    • VALLEY HOSPITAL
      223 N VAN DIEN AVENUE
      RIDGEWOOD, NJ 07450

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