1. Home
  2. Directory
  3. New Jersey
  4. Newark
  5. Pediatrics
  6. NPI Profile

JISHA RACHEL JACOB
NPI 1437513363
Pediatrics in Newark, NJ

Active since April 06, 2016PECOS Enrolled
166 LYONS AVE FL 1, NEWARK, NJ 07112(973) 926-7428 Get Directions Write a Review

NPPES record last updated: August 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 9, 2025, Jun 16, 2019 (2 updates tracked since 2019).

About Jisha Rachel Jacob NPPES

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

JISHA RACHEL JACOB (NPI 1437513363) is an individual pediatrics provider in Newark, New Jersey, licensed in New York (299130) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1437513363
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameJISHA RACHEL JACOB
Location Address166 LYONS AVE FL 1Newark, NJ 07112-2016
Mailing Address1400 Pelham Pkwy SBronx, NY 10461-1138 · (718) 918-6981
Phone(973) 926-7428
Sole ProprietorNo
Enumeration DateApril 6, 2016
Last NPPES UpdateAugust 9, 20252 updates tracked since enumeration
NPPES CertifiedAugust 9, 2025
✔ NPI 1437513363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 299130
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
166 LYONS AVE FL 1, Newark, NJ 07112
Open in Google Maps ↗

Secondary Practice Location 1

Location 11400 Pelham Pkwy SBronx, NY 10461-1138 · Phone (718) 918-6981

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jisha Rachel Jacob is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 07112 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
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 8

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

DR. FATEMA JAFFERY MD
Pediatrics (Neurodevelopmental Disabilities)
166 LYONS AVE FL 1
NEWARK, NJ 07112
Essex County (973) 926-7428
CYNTHIA LEWIS M.D.
Pediatrics
166 LYONS AVE FL 1
NEWARK, NJ 07112
Essex County (973) 926-7428
JENNILIZ MENDEZ
Pediatrics
166 LYONS AVE FL 1
NEWARK, NJ 07112
Essex County (973) 926-7428
DR. CLAIRE A MAJISU MD
Pediatrics
166 LYONS AVE FL 1, NEWARK BETH ISRAEL MEDICAL CENTER PEDIATRIC CLINIC
NEWARK, NJ 07112
Essex County (973) 926-7282
ELIZABETH ANN FORTES APN
Nurse Practitioner (Pediatrics)
166 LYONS AVE FL 1
NEWARK, NJ 07112
Essex County (973) 926-7282
DR. PETA-GAYE KENISHA PETERSON DO
Pediatrics
166 LYONS AVE FL 1
NEWARK, NJ 07112
Essex County (973) 926-7282
RUKAIYAH FERGUSON FNP
Nurse Practitioner (Family)
166 LYONS AVE FL 1
NEWARK, NJ 07112
Essex County (973) 926-7428
DR. JON F SICAT D.O.
Internal Medicine
166 LYONS AVE FL 1
NEWARK, NJ 07112
Essex County (973) 926-7428

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 Jisha Jacob's NPI number?

The NPI number for Jisha Jacob is 1437513363. It was assigned to this individual provider in the NPPES registry on April 6, 2016.

Where is Jisha Jacob located?

Jisha Jacob practices at 166 Lyons Ave Fl 1, Newark, NJ 07112. The listed phone number is (973) 926-7428.

What is Jisha Jacob's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jisha Jacob enrolled in Medicare?

Yes. Jisha Jacob is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jisha Jacob was last updated on August 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.