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

Nsibietobong Jacob Edet

Individual provider Physician Assistant · NPI 1255654604

Nsibietobong Jacob Edet is a Physician Assistant in Bronx, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2010

Practice location Address checks out

1182 Woodycrest Ave
Bronx, NY 10452-3722
Phone: (646) 401-6433
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 013906-1 (NY)

Record details

NPI number1255654604
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 11, 2010
Last updated in NPPESMarch 11, 2010

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