TONY JACOB (NPI# 1396096236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396096236 |
| Entity Type | Individual |
| Full Name | TONY JACOB |
| Credential | PA-C |
| Practice Address |
205 Homestead Rd Paramus NJ 07652-4709 |
| Practice Telephone | 5165873406 |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2016-06-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 015918 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | 25MP00294500 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326202995 | Tony Philip Jacob | Optometrist | 1001 W San Antonio St, Lockhart, TX 78644-2421 | 2008-07-14 |
| Street Address |
205 HOMESTEAD RD |
| City | PARAMUS |
| State | NJ |
| Zip Code | 07652-4709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043776255 | First Assist Surgical Services LLC | Physician Assistant | 205 Homestead Rd, Paramus, NJ 07652-4709 | 2019-02-12 |
| 1962854232 | Affinity Surgical Associates, LLC | Neurological Surgery | 205 Homestead Rd, Paramus, NJ 07652-4709 | 2016-07-11 |
| 1689003196 | First Assist Surgical Services | Physician Assistant | 205 Homestead Rd, Paramus, NJ 07652-4709 | 2013-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750997789 | Eunice Ramos | Nurse Practitioner | 300-a Forest Avenue, Paramus, NJ 07652 | 2020-09-15 |
| 1740801679 | Daniel Khodorkovsky | Dentist | 1615 Paramus Park, Paramus, NJ 07652 | 2020-05-01 |
| 1548806177 | Shira R Goldstein | Social Worker | 10 Valley Health Plaza, Paramus, NJ 07652 | 2019-11-19 |
| 1225598634 | Life Opportunities Unlimited A Non-profit Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 157 Windsor Rd, Paramus, NJ 07652 | 2019-03-21 |
| 1639635766 | Inna Revutsky | Acupuncturist | Applied Kinesiology Center of Nj, 1 Sears Drive Suite 203, Paramus, NJ 07652 | 2019-02-13 |
| 1154899532 | Aleksandra Bozovic | Nurse Practitioner | 970 Linwood Avenue, Suite 102, Paramus, NJ 07652 | 2018-11-05 |
| 1689156044 | Christopher John Kailath | Behavioral Analyst | 10 Forest Ave Suite 214, Paramus, NJ 07652 | 2018-09-02 |
| 1841786696 | Molly Katherine Lenny | Optometrist | 501 Route 17 South, Paramus, NJ 07652 | 2018-07-05 |
| 1508356155 | Physical Therapy Now Holdings Nj LLC | Clinic/Center | 695 Route 17 South, Paramus, NJ 07652 | 2018-05-18 |
| 1821514373 | Simona Dlabal | Nurse Practitioner | 69 Prospect St, Paramus, NJ 07652 | 2017-08-16 |
| Find all providers in zip 07652 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942841440 | Stephanie B. Seara | Physician Assistant | 1 Sears Dr Ste 401, Paramus, NJ 07652-3510 | 2019-10-05 |
| 1760976682 | Louise Tonic | Physician Assistant | 10 Forest Ave Ste 100, Paramus, NJ 07652-5238 | 2018-06-15 |
| 1437535226 | Jennifer Goonetilleke | Physician Assistant | 37 W Century Rd Ste 104, Paramus, NJ 07652-1466 | 2015-08-04 |
| 1053508325 | John A. Chuback, Md, LLC | Physician Assistant | 205 Robin Rd Ste 333, Paramus, NJ 07652-1424 | 2007-10-01 |
| 1619185634 | Carletta J Lindie-fowlkes | Physician Assistant | 1 Valley Health Plz Fl 3, Paramus, NJ 07652-3628 | 2007-05-21 |
| 1629169768 | Lusine Tatevosyan | Physician Assistant | 10 Forest Avenue, Paramus, NJ 07652 | 2006-09-27 |
| 1881602233 | Pnina Bargad | Physician Assistant | 140 E Ridgewood Ave Ste 390, Paramus, NJ 07652-3917 | 2006-08-03 |
| 1124021589 | Jill Kossove | Physician Assistant | 10 Forest Ave, Paramus, NJ 07652-5242 | 2005-05-31 |
| 1407414337 | Emily Beres | Physician Assistant | 140 N Rte 17 Ste 200, Paramus, NJ 07652-2829 | 2019-06-05 |
| 1104480177 | Tom Bui Roberts | Physician Assistant | 10 Forest Ave Ste 100, Paramus, NJ 07652 | 2019-04-25 |
| Find all providers in PARAMUS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.