Jisha Rachel Jacob, in Newark, NJ

Jisha Rachel Jacob, is a medicare enrolled "Pediatrics" physician in Newark, New Jersey. Her current practice location is 166 Lyons Ave Fl 1, Newark, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 926-7428.

Jisha Rachel Jacob is licensed to practice in New York (license number 299130) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1437513363.

Contact Information

	Jisha Rachel Jacob,
	166 Lyons Ave Fl 1, Newark, NJ 07112-2016
	(973) 926-7428
	Not Available

Map and Direction

Physician's Profile

Full Name	Jisha Rachel Jacob
Gender	Female
Speciality	Pediatrics
Location	166 Lyons Ave Fl 1, Newark, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437513363
Provider Enumeration Date: 04/06/2016
Last Update Date: 08/09/2025

Medicare PECOS Information:

PECOS PAC ID: 3577890912
Enrollment ID: I20240220000064

Medical Identifiers

Medical identifiers for Jisha Rachel Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437513363	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	299130 (New York)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jisha Rachel Jacob allows following entities to bill medicare on her behalf.

Entity Name	Rwjbh Primary Care Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265037501 PECOS PAC ID: 0749699346 Enrollment ID: O20210512000720

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 Rachel Jacob is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jisha Rachel Jacob, 1400 Pelham Pkwy S, Bronx, NY 10461-1138 Ph: (718) 918-6981	Jisha Rachel Jacob, 166 Lyons Ave Fl 1, Newark, NJ 07112-2016 Ph: (973) 926-7428

Reviews and Comments

Pediatrics Doctors in Newark, NJ

Dr. Catherine Anne Scarfi, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: Newark Beth Israel Medical Center- Emergency Medicine, 201 Lyons Ave. Dept. D11 (emergency Medicine), Newark, NJ 07112 Phone: 973-926-6671
Erika Yesenia Pineda, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 201 Lyons Ave, Newark, NJ 07112 Phone: 973-926-7000
Dr. Anitha Irakam, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 201 Lyons Ave, Newark, NJ 07112 Phone: 973-926-7203 Fax: 973-926-2332
Dr. Fatema Jaffery, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 166 Lyons Ave Fl 1, Newark, NJ 07112 Phone: 973-926-7428
Dr. Derrick Mcqueen, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 201 Lyons Ave, Newark, NJ 07112 Phone: 973-926-3568 Fax: 973-926-6452
Joseph V Schwab, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 90 Bergen St, Suite 4300, Newark, NJ 07103 Phone: 973-972-2100 Fax: 973-972-2102
Mr. Dhanbir S Saluja, MD PA Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 230 Jefferson St, Newark, NJ 07105 Phone: 973-589-5940 Fax: 973-465-0706

Jisha Rachel Jacob, - Medicare Pediatrics in Newark, NJ