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

Individual provider Pediatrics Physician · NPI 1811301799

Dr. Mariann C. Jacob, MD is a Pediatrics Physician in New York, New York. Works from 4 locations. Licensed in Illinois, New York and Wisconsin.

Licensed in
IL, NY, WI
In the registry since
2014
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

430 E 34th St
New York, NY 10016
Phone: (866) 733-7698
Fax: (212) 562-6019
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 801 S Milwaukee Ave, Libertyville, IL 60048-3204 — (847) 990-5260
  • 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 — (414) 337-7050
  • 3801 Spring St, Mount Pleasant, WI 53405-1667 — (262) 337-7050

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 316056 (NY)
Pediatrics Physician Taxonomy 208000000X · Licence 62609-20 (WI)
Pediatrics Physician Taxonomy 208000000X · Licence 036.35602 (IL)
Hospitalist Physician Taxonomy 208M00000X · Licence 62609 (WI)

Record details

NPI number1811301799
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 18, 2014
Last updated in NPPESMarch 19, 2024
Certification dateMarch 19, 2024

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