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

MS. Ansu Jacob

Individual provider Physician Assistant · NPI 1679994529

MS. Ansu Jacob is a Physician Assistant in New York, New York. Qualified in 2013, 13 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York and Pennsylvania.

Years since qualifying
13
Licensed in
NY, PA
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

156 William St Rm 303
New York, NY 10038-5307
Phone: (888) 803-3770
Fax: (888) 803-3331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA056682 (PA)
Physician Assistant Taxonomy 363A00000X · Licence 028078 (NY)

Record details

NPI number1679994529
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 19, 2013
Last updated in NPPESMarch 27, 2026
Certification dateMarch 27, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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