MARIANNE JACOB
NPI 1215453857
Pediatrics - Pediatric Endocrinology in West Orange, NJ

Q: What is Marianne Jacob's NPI number?

The NPI number for Marianne Jacob is 1215453857. It was assigned to this individual provider in the NPPES registry on August 15, 2017.

Q: What is Marianne Jacob's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Q: When was this NPI record last updated?

The NPPES record for Marianne Jacob was last updated on October 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 15, 2017PECOS EnrolledAccepts Medicare Assignment

375 MOUNT PLEASANT AVE, WEST ORANGE, NJ 07052(973) 322-6900(973) 322-6999 Get Directions Write a Review

NPPES record last updated: October 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 6, 2022, Aug 15, 2017 (2 updates tracked since 2017).

On this page

About Marianne Jacob NPPES

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

MARIANNE JACOB (NPI 1215453857) is an individual pediatric endocrinology provider in West Orange, New Jersey, licensed in New York (297526) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2016).

NPPES Registry Identity

NPI1215453857

Entity TypeIndividualFemale

Primary Taxonomy2080P0205X

Provider Legal NameMARIANNE JACOB

Location Address375 MOUNT PLEASANT AVEWest Orange, NJ 07052-2750

Mailing Address48 Sycamore LnRoslyn Heights, NY 11577-2522

Phone(973) 322-6900

Fax(973) 322-6999

Sole ProprietorYes

Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2016

Enumeration DateAugust 15, 2017

Last NPPES UpdateOctober 6, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 19, 2022

✔ NPI 1215453857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0205X

Licenses✔ Licensed in NY · 297526✔ Licensed in NJ · 25MB11494800

Definition

A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.

375 MOUNT PLEASANT AVE, West Orange, NJ 07052

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marianne Jacob is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648655589

PECOS Enrollment IDI20220914000324

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07052 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

YESICA CANO APN

Nurse Practitioner (Gerontology)

375 MOUNT PLEASANT AVE
WEST ORANGE, NJ 07052

Essex County (973) 731-9442

DR. JOAO A LOPES M.D.

Surgery

375 MOUNT PLEASANT AVE
WEST ORANGE, NJ 07052

Essex County (973) 731-7707

ADILA ASIM FAKHAR RD

Dietitian, Registered

375 MOUNT PLEASANT AVE
WEST ORANGE, NJ 07052

Essex County (973) 731-9442

MR. STEPHEN CRANE MD

Obstetrics & Gynecology

375 MOUNT PLEASANT AVE, SUITE 202
WEST ORANGE, NJ 07052

Essex County (973) 731-7707

DR. DAVID P DOBESH MD

Internal Medicine (Clinical Cardiac Electrophysiology)

375 MOUNT PLEASANT AVE
WEST ORANGE, NJ 07052

Essex County (973) 731-9442

ELIZABETH ANN JEHLE CPNP-PC

Nurse Practitioner (Pediatrics)

375 MOUNT PLEASANT AVE
WEST ORANGE, NJ 07052

Essex County (973) 322-6900

PATRICIA ANN CORTINA PT

Physical Therapist

375 MOUNT PLEASANT AVE
WEST ORANGE, NJ 07052

Essex County (908) 322-6363

DR. DANIEL SANSOBRINO MD

Obstetrics & Gynecology

375 MOUNT PLEASANT AVE
WEST ORANGE, NJ 07052

Essex County (973) 731-7707

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 Marianne Jacob's NPI number?

The NPI number for Marianne Jacob is 1215453857. It was assigned to this individual provider in the NPPES registry on August 15, 2017.

Where is Marianne Jacob located?

Marianne Jacob practices at 375 Mount Pleasant Ave, West Orange, NJ 07052. The listed phone number is (973) 322-6900.

What is Marianne Jacob's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Is Marianne Jacob enrolled in Medicare?

Yes. Marianne Jacob is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Marianne Jacob accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Marianne Jacob as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marianne Jacob was last updated on October 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.