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

Dr. Jacob H Jacoby, MDPHD

Individual provider Addiction Medicine (Psychiatry & Neurology) Physician · NPI 1174648232

Dr. Jacob H Jacoby, MDPHD is a Psychiatry in Bayonne, New Jersey. Graduated from State University of New York at Buffalo School of Medicine in 1980, 46 years ago. Offers telehealth. Licensed in New Jersey and New York.

Years since qualifying
46
Trained at
State University of New York at Buffalo School of Medicine
Licensed in
NJ, NY
In the registry since
2007
Specialties on file
4

Practice location Address checks out

654 Ave C Ste 201
Bayonne, NJ 07002
Phone: (201) 339-0323
Fax: (201) 339-0349
Show map & directions

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

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 46259 (NJ)
Addiction Medicine (Psychiatry & Neurology) Physician Taxonomy 2084A0401X · Licence 46259 (NJ)
Addiction Medicine (Psychiatry & Neurology) Physician Taxonomy 2084A0401X · Licence 156653-1 (NY)
Psychiatry Physician Taxonomy 2084P0800X · Licence 156653-1 (NY)

Record details

NPI number1174648232
Entity typeIndividual (Type 1)
GenderMale
Credentials MDPHD
Sole proprietorNo
NPI enumeratedMarch 20, 2007
Last updated in NPPESJune 16, 2010
Mailing address654 Ave C, Suite 201, Bayonne, NJ 07002

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolSTATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated 1980 (46 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations4 on file with Medicare