MEDICARE: DANA B JACOBY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	25MA06592200	NJ

General Provider Information

NPI Number	:	1356311609
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANA B JACOBY M.D.

Provider Business Mailing Address
First Line	:	21 NORTH GILBERT STREET
Second Line	:	1ST FLOOR
City	:	TINTON FALLS
State	:	NJ
Zip	:	07701-4950
Country	:	US
Telephone Number	:	732-530-4545
Fax Number	:	732-530-5741

Provider Business Practice Location Address
First Line	:	766 SHREWSBURY AVE
Second Line	:
City	:	TINTON FALLS
State	:	NJ
Zip	:	07724-3001
Country	:	US
Telephone Number	:	732-530-4545
Fax Number	:	732-530-5741

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2006
Last Update Date	:	09/01/2016

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1902761414 — NEW JERSEY INFUSION PA
Practice Location Address:

766 SHREWSBURY AVE STE 306
TINTON FALLS, NJ
07724-3001

Practice Phone: 732-962-9800
Practice Fax:

1033142328 — ADVANCED VASCULAR SOLUTIONS, P.A.
Practice Location Address:

766 SHREWSBURY AVE , SUITE 300
TINTON FALLS, NJ
07724-3001

Practice Phone: 732-345-8346
Practice Fax: 732-345-8351

1700942208 — ATLANTIC OPEN MRI, LLC
Practice Location Address:

766 SHREWSBURY AVE
TINTON FALLS, NJ
07724-3001

Practice Phone: 732-530-8989
Practice Fax: 732-530-0420

1104097682 — DOUGLAS T GIBBENS MD LLC
Practice Location Address:

766 SHREWSBURY AVE , SUITE 207
TINTON FALLS, NJ
07724-3001

Practice Phone: 732-530-8989
Practice Fax: 732-530-6365

1285809541 — STEVEN C TIZIO MD
Practice Location Address:

766 SHREWSBURY AVE , SUITE 405
TINTON FALLS, NJ
07724-3001

Practice Phone: 732-450-1500
Practice Fax: 732-450-1555

Directions to “ DANA B JACOBY M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.