Search › New Jersey › 363LF0000X
Jisha Jacob
NPI 1437957701 · on the registry since 2025
Practice
- Address
- 615 Main Ave # 7055
Passaic, NJ 07055 - Phone
- (800) 200-8196
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 207Q00000X
207Q00000X - Licence states on file
- NY, IL, NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-07-09
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