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1467550194 NPI number — MERYL GOLDSTEIN JACOBS MED LPC

NPI Number: 1467550194
Health Care Provider/Practitioner: MERYL GOLDSTEIN JACOBS MED LPC

Information about “1467550194” NPI (MERYL GOLDSTEIN JACOBS MED LPC) exists in 1467550194 in HTML format HTML  |  1467550194 in plain Text format TXT  |  1467550194 in PDF (Portable Document Format) PDF  |  1467550194 in an XML format XML  formats.

NPI Number : 1467550194 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1467550194",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JACOBS",
    "FirstName": "MERYL",
    "MiddleName": "GOLDSTEIN",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "MED LPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "JACOBS",
    "OtherFirstName": "MERYL",
    "OtherMiddleName": "ELYSE",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "MED LPC",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "22 WINDHAM ROAD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HILLSDALE",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07642",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "201-722-2533",
    "MailingAddressFaxNumber": "201-722-0083",
    "FirstLinePracticeLocationAddress": "223 OLD HOOK ROAD",
    "SecondLinePracticeLocationAddress": "PASCACK MEDICAL CENTER",
    "PracticeLocationAddressCityName": "WESTWOOD",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07675",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "201-722-2533",
    "PracticeLocationAddressFaxNumber": "201-722-0083",
    "EnumerationDate": "09/20/2006",
    "LastUpdateDate": "01/11/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "0017731",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "37PC00174700",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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