Jisha Jacob, - Nurse Practitioner in Passaic, NJ

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Jisha Jacob, is a Nurse Practitioner - Family physician based in Passaic, New Jersey. Jisha Jacob is licensed to practice in New Jersey (license number 26NJ15521400) and her current practice location is 615 Main Ave # 7055, Passaic, New Jersey. She can be reached at her office (for appointments etc.) via phone at (800) 200-8196.

NPI number for Jisha Jacob is 1437957701 and her current mailing address is 47 Old Middletown Rd, Nanuet, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1437957701.

Contact Information

Jisha Jacob,
615 Main Ave # 7055,
Passaic, NJ 07055-5066
(800) 200-8196
Not Available

Map and Direction




Physician's Profile

Full NameJisha Jacob
GenderFemale
SpecialityNurse Practitioner - Family
Location615 Main Ave # 7055, Passaic, New Jersey
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1437957701
  • Provider Enumeration Date: 03/04/2025
  • Last Update Date: 07/09/2026

Medical Identifiers

Medical identifiers for Jisha Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437957701NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 357923 (New York)Secondary
207Q00000XFamily Medicine 209030880 (Illinois)Secondary
363LF0000XNurse Practitioner - Family 26NJ15521400 (New Jersey)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jisha Jacob is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jisha Jacob,
47 Old Middletown Rd,
Nanuet, NY 10954-3208

Ph: (708) 296-9823		Jisha Jacob,
615 Main Ave # 7055,
Passaic, NJ 07055-5066

Ph: (800) 200-8196

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.