Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Trian John Jacob, PA-C

Individual provider Medical Physician Assistant · NPI 1962579441

Mr. Trian John Jacob, PA-C is a Medical Physician Assistant in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
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

760 Broadway
Brooklyn, NY 11206-5317
Phone: (718) 963-5951
Fax: (718) 963-6893
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 006020 (NY)

Record details

NPI number1962579441
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedNovember 29, 2006
Last updated in NPPESJuly 8, 2007

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