MARVEN WALLEN & S. KENNETH JACOBSON, MD PA
NPI 1053507566
General Practice in Maplewood, NJ

Q: What is Marven Wallen & S. Kenneth Jacobson, MD PA's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since September 18, 2007

1985 SPRINGFIELD AVE, MAPLEWOOD, NJ 07040(973) 763-5010(973) 761-6980 Get Directions Write a Review

NPPES record last updated: June 19, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Marven Wallen & S. Kenneth Jacobson, Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARVEN WALLEN & S. KENNETH JACOBSON, MD PA (NPI 1053507566) is a healthcare organization registered as a general practice in Maplewood, New Jersey and active in the NPI registry since September 2007. The organization lists Marven H Wallen, Owner/administrator, as its authorized official.

NPPES Registry Identity

NPI1053507566

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameMARVEN WALLEN & S. KENNETH JACOBSON, MD PA

Location Address1985 SPRINGFIELD AVEMaplewood, NJ 07040-3435

Mailing Address1985 Springfield AveMaplewood, NJ 07040-3435 · (973) 763-5010 · Fax (973) 761-6980

Phone(973) 763-5010

Fax(973) 761-6980

Organization SubpartNo

Authorized OfficialMarven H WallenOwner/administrator · (973) 763-5010

Enumeration DateSeptember 18, 2007

Last NPPES UpdateJune 19, 2008

✔ NPI 1053507566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

1985 SPRINGFIELD AVE, Maplewood, NJ 07040

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Other Identifiers 1

Medicare PIN458234NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSEPH PFEIFER

Occupational Therapist

1985 SPRINGFIELD AVE
MAPLEWOOD, NJ 07040

Essex County (862) 278-7800

DR. MARVEN H WALLEN M.D.

Internal Medicine

1985 SPRINGFIELD AVE
MAPLEWOOD, NJ 07040

Essex County (973) 763-5010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marven Wallen & S. Kenneth Jacobson, MD PA's NPI number?

The NPI number for Marven Wallen & S. Kenneth Jacobson, MD PA is 1053507566. It was assigned to this organization in the NPPES registry on September 18, 2007.

Where is Marven Wallen & S. Kenneth Jacobson, MD PA located?

Marven Wallen & S. Kenneth Jacobson, MD PA is located at 1985 Springfield Ave, Maplewood, NJ 07040. The listed phone number is (973) 763-5010.

What is Marven Wallen & S. Kenneth Jacobson, MD PA's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Marven Wallen & S. Kenneth Jacobson, MD PA was last updated on June 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.