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

Jacob Mark Ebner, PA-C

Individual provider Physician Assistant · NPI 1316627813

Jacob Mark Ebner, PA-C is a Physician Assistant in Newark, Delaware. Qualified in 2024, 2 years ago. Practices with Christiana Care Health Services Inc, a 1,481-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Delaware.

Years since qualifying
2
Licensed in
DE
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4755 Ogletown Stanton Rd Ste 1070
Newark, DE 19718-2200
Phone: (302) 733-1663
Fax: (302) 733-4533
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 107 Cedar Rd, Pittsgrove, NJ 08318-3830 — (856) 275-5492

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence C5-0012175 (DE)

Record details

NPI number1316627813
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 19, 2023
Last updated in NPPESNovember 29, 2024
Certification dateNovember 29, 2024
Mailing address107 Cedar Rd, Pittsgrove, NJ 08318-3830

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Christiana Care Health Services Inc — 1481 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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