MR. JACOB OTU ENYIA M.D
NPI 1689317984
Internal Medicine in Jersey City, NJ

Active since April 15, 2022PECOS EnrolledAccepts Medicare Assignment
355 GRAND STREET, DEPARTMENT OF MEDICINE 1 EAST, JERSEY CITY, NJ 07302(201) 915-2431(201) 915-2219 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2022, Apr 15, 2022 (2 updates tracked since 2022).

About Mr. Jacob Otu Enyia M.d NPPES

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

MR. JACOB OTU ENYIA M.D (NPI 1689317984) is an individual internal medicine provider in Jersey City, New Jersey, licensed in Alabama (MD.50983) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1689317984
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. JACOB OTU ENYIACredential: M.D
Location Address355 GRAND STREET, DEPARTMENT OF MEDICINE 1 EASTJersey City, NJ 07302
Mailing Address355 Grand Street, Department Of Medicine 1 EastJersey City, NJ 07302 · (201) 915-2431 · Fax (201) 915-2219
Fax(201) 915-2219
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 15, 2022
Last NPPES UpdateJuly 21, 20252 updates tracked since enumeration
NPPES CertifiedJuly 21, 2025
NPI 1689317984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in AL · MD.50983
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
355 GRAND STREET, Jersey City, NJ 07302

Accepted 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

Mr. Jacob Otu Enyia M.d 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 ID2365948932
PECOS Enrollment IDI20251002000708
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 07302 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.

Surgery (Surgical Critical Care)
355 GRAND STREET, JERSEY CITY MEDICAL CENTER, DEPT. OF S
JERSEY CITY, NJ 07302
Pediatrics (Neonatal-Perinatal Medicine)
355 GRAND STREET
JERSEY CITY, NJ 07302
Student in an Organized Health Care Education/Training Program
355 GRAND STREET
JERSEY CITY, NJ 07302
Student in an Organized Health Care Education/Training Program
355 GRAND STREET, DEPARTMENT OF MEDICINE 1 EAST: RUTGERS HEALTH/JERSEY CI
JERSEY CITY, NJ 07302
Internal Medicine
355 GRAND STREET
JERSEY CITY, NJ 07302
Internal Medicine
355 GRAND STREET
JERSEY CITY, NJ 07302
Student in an Organized Health Care Education/Training Program
355 GRAND STREET
JERSEY CITY, NJ 07302
Nurse Practitioner (Gerontology)
355 GRAND STREET, JERSEY CITY MEDICAL CENTER/RWJ BARNABAS HEALTH
JERSEY CITY, NJ 07302

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 Jacob Enyia's NPI number?

The NPI number for Jacob Enyia is 1689317984. It was assigned to this individual provider in the NPPES registry on April 15, 2022.

Where is Jacob Enyia located?

Jacob Enyia practices at 355 Grand Street Department Of Medicine 1 East, Jersey City, NJ 07302. The listed phone number is (201) 915-2431.

What is Jacob Enyia's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jacob Enyia enrolled in Medicare?

Yes. Jacob Enyia 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 Jacob Enyia accept?

Health plans from Blue Cross and Blue Shield of Alabama list Jacob Enyia 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 Jacob Enyia was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.