Marianne Jacob
Marianne Jacob is a Pediatric Medicine in West Orange, New Jersey. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2016, 10 years ago. Practices with Barnabas Health Medical Group PC, a 1,025-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.
- Years since qualifying
- 10
- Trained at
- Lake Erie College of Osteopathic Medicine, Erie
- Licensed in
- NJ, NY
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
375 Mount Pleasant AveWest Orange, NJ 07052-2750
Phone: (973) 322-6900
Fax: (973) 322-6999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Endocrinology Physician (primary) | Taxonomy 2080P0205X · Licence 297526 (NY) |
|---|---|
| Pediatric Endocrinology Physician | Taxonomy 2080P0205X · Licence 25MB11494800 (NJ) |
Record details
| NPI number | 1215453857 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 15, 2017 |
| Last updated in NPPES | October 6, 2022 |
| Certification date | September 19, 2022 |
| Mailing address | 48 Sycamore Ln, Roslyn Heights, NY 11577-2522 |
Medicare enrollment
| Medicare specialty | PEDIATRIC MEDICINE |
|---|---|
| Medical school | LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE |
| Graduated | 2016 (10 years in practice) |
| Group practice | Barnabas Health Medical Group Pc — 1025 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in West Orange
-
Dr. Dennis J Brenner, MD
375 Mount Pleasant Ave Ste 105, West Orange, NJ 07052-2724 · (973) 322-6900