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MRS. MOLLY JACOB APN
NPI 1649492760
Nurse Practitioner - Adult Health in East Hanover, NJ

Active since May 02, 2007PECOS Enrolled
30 BRACE DR, EAST HANOVER, NJ 07936(973) 781-0172 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Molly Jacob Apn NPPES

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

MRS. MOLLY JACOB APN (NPI 1649492760) is an individual adult health provider in East Hanover, New Jersey, licensed in New Jersey (26NJ00023600) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649492760
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. MOLLY JACOBCredential: APN
Location Address30 BRACE DREast Hanover, NJ 07936-3025
Mailing Address30 Brace DrEast Hanover, NJ 07936-3025 · (973) 781-0172
Phone(973) 781-0172
Sole ProprietorNo
Enumeration DateMay 2, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1649492760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NJ · 26NJ00023600
30 BRACE DR, East Hanover, NJ 07936
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Molly Jacob Apn 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.

Medicare Billing Reassignment

Medicare enrollment records show Molly Jacob reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Hospital
10 mi
Acute Care
205 SOUTH ORANGE AVENUE, DEPT. ONCOLOGY B-1245
Newark, NJ 07103
  • Reassigned Medicare billing, New Jersey enrollment
  • 15 clinicians in this Medicare group
NPI 1033494430 (973) 972-5053

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07936 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.

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 Molly Jacob's NPI number?

The NPI number for Molly Jacob is 1649492760. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Where is Molly Jacob located?

Molly Jacob practices at 30 Brace Dr, East Hanover, NJ 07936. The listed phone number is (973) 781-0172.

What is Molly Jacob's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Molly Jacob enrolled in Medicare?

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

Which organization bills Medicare for Molly Jacob's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Molly Jacob reassigns Medicare benefits to University Hospital (Newark, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Molly Jacob's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Molly Jacob was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.