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

Dr. Ellis Jacobs, PHD

Individual provider Diplomate Laboratory Management Specialist/Technologist · NPI 1720256910

Dr. Ellis Jacobs, PHD is a Diplomate Laboratory Management Specialist/Technologist in Teaneck, New Jersey. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2008
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

540 Wyndham Rd
Teaneck, NJ 07666-2612
Phone: (201) 836-1518
Fax: (212) 318-4699
Show map & directions

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

Specialties & licences

Diplomate Laboratory Management Specialist/Technologist (primary) Taxonomy 246QL0901X · Licence JACOE1 (NY)

Record details

NPI number1720256910
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedFebruary 11, 2008
Last updated in NPPESJuly 1, 2013
Mailing address540 Wyndham Rd, Teaneck, NJ 07666-2612