| Marianne Jacob, | |
|
375 Mount Pleasant Ave, West Orange, NJ 07052-2750 | |
| (973) 322-6900 | |
| (973) 322-6999 |
| Full Name | Marianne Jacob |
|---|---|
| Gender | Female |
| Speciality | Pediatric Medicine |
| Experience | 10 Years |
| Location | 375 Mount Pleasant Ave, West Orange, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215453857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0205X | Pediatrics - Pediatric Endocrinology | 25MB11494800 (New Jersey) | Secondary |
| 2080P0205X | Pediatrics - Pediatric Endocrinology | 297526 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Barnabas Health Medical Group Pc | 9537316955 | 1007 |
| Entity Name | Barnabas Health Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841557246 PECOS PAC ID: 9537316955 Enrollment ID: O20120820000951 |
| Mailing Address | Practice Location Address |
|---|---|
| Marianne Jacob, 48 Sycamore Ln, Roslyn Heights, NY 11577-2522 Ph: () - | Marianne Jacob, 375 Mount Pleasant Ave, West Orange, NJ 07052-2750 Ph: (973) 322-6900 |
Dr. Erik Dienna, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 745 Northfield Ave Ste 7, West Orange, NJ 07052 Phone: 973-243-0002 Fax: 855-274-7153 | |
Dr. Svetlana Lantsman Sabel, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 375 Mount Pleasant Ave Ste 105, West Orange, NJ 07052 Phone: 973-322-6900 Fax: 973-322-6999 | |
Dr. Susan Sonhe Yoo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Old Short Hills Rd Ste 105, West Orange, NJ 07052 Phone: 973-325-1115 Fax: 973-325-1186 | |
Stephen Amaefuna, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4 Faas Ct, West Orange, NJ 07052 Phone: 973-715-2688 Fax: 973-324-9725 | |
Dr. Constantinos Kintiroglou, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1500 Pleasant Valley Way, Ste 306, West Orange, NJ 07052 Phone: 973-243-0002 Fax: 973-243-1227 | |
Valentyna Tack, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Old Short Hills Rd Ste 105, West Orange, NJ 07052 Phone: 973-325-1115 Fax: 973-325-1186 |