Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dianna Elizabeth Jacob, RPA-C

Individual provider Surgical Physician Assistant · NPI 1104014737

Dianna Elizabeth Jacob, RPA-C is a Surgical Physician Assistant in Bronx, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007

Practice location Address checks out

111 E 210th St
Bronx, NY 10467-2401
Phone: (718) 920-2451
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 007635 (NY)

Record details

NPI number1104014737
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedOctober 9, 2007
Last updated in NPPESOctober 9, 2007

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