ELLIS JACOBS PHD – NPI #1720256910
Specialist/Technologist, Pathology

ELLIS JACOBS is a technologist located in TEANECK, NJ. NPPES has assigned the NPI number 1720256910 to ELLIS JACOBS on February 11, 2008. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 246QL0901X from the Health Care Provider Taxonomy code set, which is classified as Specialist/Technologist, Pathology, specializing in Laboratory Management, Diplomate

The NPI profile was previously updated about 13 years ago on Jul 01, 2013. 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 ELLIS JACOBS below.

NPI Profile for
ELLIS JACOBS

NPI Number
1720256910
Enumeration Date

(more than 18 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
ELLIS JACOBS
Credentials
PHD
Primary location
540 WYNDHAM RD
TEANECK, NJ 07666-2612
Phone: (201) 836-1518 Fax: (212) 318-4699
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
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
246QL0901X
- Specialist/Technologist, Pathology / Laboratory Management, Diplomate (Primary)
NY JACOE1

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.