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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JUSTIN G JACOB
NPI 1538077649
Counselor - Mental Health in Bronx, NY

Active since August 31, 2026
3921 WILDER AVE, BRONX, NY 10466(914) 364-6983 Get Directions Write a Review

NPPES record added: August 31, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Justin G Jacob NPPES

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

JUSTIN G JACOB (NPI 1538077649) is an individual mental health provider in Bronx, New York, licensed in New York (104146428) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1538077649
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJUSTIN G JACOB
Location Address3921 WILDER AVEBronx, NY 10466-2424
Mailing Address3921 Wilder AveBronx, NY 10466-2424 · (914) 364-6983
Phone(914) 364-6983
Sole ProprietorYes
Enumeration DateAugust 31, 2026
NPPES CertifiedAugust 31, 2026
✔ NPI 1538077649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 104146428
3921 WILDER AVE, Bronx, NY 10466
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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

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 Justin Jacob's NPI number?

The NPI number for Justin Jacob is 1538077649. It was assigned to this individual provider in the NPPES registry on August 31, 2026.

Where is Justin Jacob located?

Justin Jacob practices at 3921 Wilder Ave, Bronx, NY 10466. The listed phone number is (914) 364-6983.

What is Justin Jacob's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Justin Jacob was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.