Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JISHA JACOB
NPI 1437957701
Nurse Practitioner - Family in Passaic, NJ

Active since March 04, 2025
615 MAIN AVE # 7055, PASSAIC, NJ 07055(800) 200-8196 Get Directions Write a Review

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

Record update history: Jul 9, 2026, Mar 30, 2026, Mar 25, 2026 and 1 more (4 updates tracked since 2025).

About Jisha Jacob NPPES

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

JISHA JACOB (NPI 1437957701) is an individual family provider in Passaic, New Jersey, licensed in New Jersey (26NJ15521400) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1437957701
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJISHA JACOB
Location Address615 MAIN AVE # 7055Passaic, NJ 07055-5066
Mailing Address47 Old Middletown RdNanuet, NY 10954-3208 · (708) 296-9823
Sole ProprietorNo
Enumeration DateMarch 4, 2025
Last NPPES UpdateJuly 9, 20264 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
NPI 1437957701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NJ · 26NJ15521400
Also ListedFamily MedicineTaxonomy 207Q00000X · License 357923 (NY), 209030880 (IL)
615 MAIN AVE # 7055, Passaic, NJ 07055

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 1437957701. It was assigned to this individual provider in the NPPES registry on March 4, 2025.

Where is Jisha Jacob located?

Jisha Jacob practices at 615 Main Ave # 7055, Passaic, NJ 07055. The listed phone number is (800) 200-8196.

What is Jisha Jacob's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jisha Jacob was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.