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

Jisha Rachel Jacob

Individual provider Pediatrics Physician · NPI 1437513363

Jisha Rachel Jacob is a Pediatrics Physician in Newark, New Jersey. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2016
Specialties on file
2

Practice location Address checks out

166 Lyons Ave Fl 1
Newark, NJ 07112-2016
Phone: (973) 926-7428
Show map & directions

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

Additional practice locations (1)

  • 1400 Pelham Pkwy S, Bronx, NY 10461-1138 — (718) 918-6981

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 299130 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1437513363
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 6, 2016
Last updated in NPPESAugust 9, 2025
Certification dateAugust 9, 2025

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