Samuel Sunny Jacob, DO
Samuel Sunny Jacob, DO is a Physical Medicine and Rehabilitation in Ridgewood, New Jersey. Graduated from National College of Chiropractic in 2017, 9 years ago. Practices with Valley Physician Services PC, a 592-clinician group and accepts Medicare assignment. Licensed in New Jersey.
- Years since qualifying
- 9
- Trained at
- National College of Chiropractic
- Licensed in
- NJ
- In the registry since
- 2017
What do these letters mean?
- DO — Doctor of Osteopathic Medicine
- A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
Practice location Address checks out
1200 E Ridgewood Avenue East Wing Ste 306Ridgewood, NJ 07450
Phone: (201) 612-4857
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) | Taxonomy 2081S0010X · Licence 25MB11490200 (NJ) |
|---|
Record details
| NPI number | 1134651391 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DO |
| Sole proprietor | No |
| NPI enumerated | March 28, 2017 |
| Last updated in NPPES | August 18, 2022 |
| Certification date | August 18, 2022 |
| Mailing address | 18 Martino Way, Pomona, NY 10970-2649 |
Medicare enrollment
| Medicare specialty | PHYSICAL MEDICINE AND REHABILITATION |
|---|---|
| Medical school | NATIONAL COLLEGE OF CHIROPRACTIC |
| Graduated | 2017 (9 years in practice) |
| Group practice | Valley Physician Services Pc — 592 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |