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DIANNA ELIZABETH JACOB RPA-C
NPI 1104014737
Physician Assistant - Surgical in Bronx, NY

Active since October 09, 2007
111 E 210TH ST, BRONX, NY 10467(718) 920-2451 Get Directions Write a Review

NPPES record last updated: October 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dianna Elizabeth Jacob Rpa-c NPPES

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

DIANNA ELIZABETH JACOB RPA-C (NPI 1104014737) is an individual surgical provider in Bronx, New York, licensed in New York (007635) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1104014737
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameDIANNA ELIZABETH JACOBCredential: RPA-C
Location Address111 E 210TH STBronx, NY 10467-2401
Mailing Address227 E 89th St, Apt 4aNew York, NY 10128-4382 · (917) 747-0048
Phone(718) 920-2451
Sole ProprietorNo
Enumeration DateOctober 9, 2007
✔ NPI 1104014737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in NY · 007635
111 E 210TH ST, Bronx, NY 10467
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Other Providers at the Same Location NPPES 20

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

DR. MADHU SHARMA MD
Pediatrics (Pediatric Cardiology)
111 E 210TH ST, MONTEFIORE MEDICAL CENTER
BRONX, NY 10467
Bronx County (718) 741-2538
DR. AMANDA MCNEAR JACOBS M.D.
Pediatrics (Adolescent Medicine)
111 E 210TH ST, DEPARTMENT OF PEDIATRICS
BRONX, NY 10467
Bronx County (718) 920-2306
HEATHER ROOT MD
Internal Medicine (Infectious Disease)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-8592
MICHAEL GOTTESMAN M.D.
Radiology (Diagnostic Neuroimaging)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-5506
JIAE LEE M.D.
Psychiatry & Neurology (Neurology)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
DR. MICHELLE DOMINIQUE PINTEA MD
Pediatrics
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
TELISHA MCLEAN
Nurse Practitioner (Family)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
SHIVADITYA CHOUDHURY
Anesthesiology
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321

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 Dianna Jacob's NPI number?

The NPI number for Dianna Jacob is 1104014737. It was assigned to this individual provider in the NPPES registry on October 9, 2007.

Where is Dianna Jacob located?

Dianna Jacob practices at 111 E 210th St, Bronx, NY 10467. The listed phone number is (718) 920-2451.

What is Dianna Jacob's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Dianna Jacob was last updated on October 9, 2007. 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.