Search › New Jersey › 363A00000X
Tony Jacob, PA-C
NPI 1396096236 · on the registry since 2012 · sole proprietor
Practice
- Address
- 205 Homestead Rd
Paramus, NJ 07652 - Phone
- (516) 587-3406
- Organisation at this address
- First Assist Surgical Services
Affinity Surgical Associates, Llc
First Assist Surgical Services LlcInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- NJ, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-06-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey