DR. ELLIS JACOBS PHD
NPI 1720256910
Specialist/Technologist, Pathology - Laboratory Management, Diplomate in Teaneck, NJ

Q: What is Ellis Jacobs's NPI number?

The NPI number for Ellis Jacobs is 1720256910. It was assigned to this individual provider in the NPPES registry on February 11, 2008.

Q: What is Ellis Jacobs's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Pathology, specializing in Laboratory Management, Diplomate, with taxonomy code 246QL0901X.

Q: When was this NPI record last updated?

The NPPES record for Ellis Jacobs was last updated on July 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since February 11, 2008

540 WYNDHAM RD, TEANECK, NJ 07666(201) 836-1518(212) 318-4699 Get Directions Write a Review

NPPES record last updated: July 1, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Ellis Jacobs Phd NPPES

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

DR. ELLIS JACOBS PHD (NPI 1720256910) is an individual laboratory management, diplomate provider in Teaneck, New Jersey, licensed in New York (JACOE1) and active in the NPI registry since February 2008.

NPPES Registry Identity

NPI1720256910

Entity TypeIndividualMale

Primary Taxonomy246QL0901X

Provider Legal NameDR. ELLIS JACOBSCredential: PHD

Location Address540 WYNDHAM RDTeaneck, NJ 07666-2612

Mailing Address540 Wyndham RdTeaneck, NJ 07666-2612 · (201) 836-1518 · Fax (212) 318-4699

Phone(201) 836-1518

Fax(212) 318-4699

Sole ProprietorYes

Enumeration DateFebruary 11, 2008

Last NPPES UpdateJuly 1, 2013

✔ NPI 1720256910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Pathology · Laboratory Management, DiplomateTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code246QL0901X

License✔ Licensed in NY · JACOE1

540 WYNDHAM RD, Teaneck, NJ 07666

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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 Ellis Jacobs's NPI number?

The NPI number for Ellis Jacobs is 1720256910. It was assigned to this individual provider in the NPPES registry on February 11, 2008.

Where is Ellis Jacobs located?

Ellis Jacobs practices at 540 Wyndham Rd, Teaneck, NJ 07666. The listed phone number is (201) 836-1518.

What is Ellis Jacobs's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Pathology, specializing in Laboratory Management, Diplomate, with taxonomy code 246QL0901X.

When was this NPI record last updated?

The NPPES record for Ellis Jacobs was last updated on July 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.