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

Individual provider Physician Assistant · NPI 1396096236

Tony Jacob, PA-C is a Physician Assistant in Paramus, New Jersey. Practices as a sole proprietor. Licensed in New Jersey and New York.

Licensed in
NJ, NY
In the registry since
2012
Specialties on file
2
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

205 Homestead Rd
Paramus, NJ 07652-4709
Phone: (516) 587-3406
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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 25MP00294500 (NJ)
Physician Assistant Taxonomy 363A00000X · Licence 015918 (NY)

Record details

NPI number1396096236
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 1, 2012
Last updated in NPPESJune 3, 2016

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