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

Dr. Viju Jacob

Individual provider Pediatrics Physician · NPI 1134135114

Dr. Viju Jacob is a Pediatric Medicine in Bronx, New York. Graduated from State University of New York Downstate Medical Center in 1999, 27 years ago. Practices with Urban Health Plan Inc, a 157-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
27
Trained at
State University of New York Downstate Medical Center
Licensed in
NY
In the registry since
2006
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Practice location Address checks out

890 Hunts Point Ave
Bronx, NY 10474-5402
Phone: (718) 589-2141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1967 Turnbull Ave, Bronx, NY 10473-2519 — (718) 684-1320

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 228973 (NY)

Record details

NPI number1134135114
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 31, 2006
Last updated in NPPESAugust 30, 2024
Certification dateAugust 30, 2024

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 1999 (27 years in practice)
Group practice Urban Health Plan Inc — 157 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bronx