Healthcare Provider Details

I. General information

NPI: 1295146033
Provider Name (Legal Business Name): JACOB WRIGHT-PIEKARSKI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2014
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 BOWMAN DR FL 3
VOORHEES NJ
08043-9612
US

IV. Provider business mailing address

100 BOWMAN DR FL 3
VOORHEES NJ
08043-9612
US

V. Phone/Fax

Practice location:
  • Phone: 856-247-3000
  • Fax: 856-247-4452
Mailing address:
  • Phone: 856-247-3000
  • Fax: 856-247-4452

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberD88886
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number25IA13012400
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD464376
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: