Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1437513363 Individual Practitioner Female Practitioner

Jisha Rachel Jacob

Pediatrics • Newark, NJ

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Jisha Jacob is a registered healthcare professional specializing in Pediatrics in Newark, NJ. Official NPI practice address is registered at 166 LYONS AVE FL 1.

Practice Location & Contact Primary Location

Practice Address

166 Lyons Ave Fl 1

Newark, NJ 071122016

Telephone 9739267428
Associated Practice Facility / Clinic
🏢 Ihs Of New York Inc Facility NPI 1073549192

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Newark, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.4 Yrs
State Avg: 25.6 Yrs
Regional Practice Density
89 Specialists

Practicing in Newark, NJ (2321 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-08-09
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NY 299130

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

1400 Pelham Pkwy S

Bronx, NY 104611138

Phone: 7189186981

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Fatema Jaffery , MD

Pediatrics - Neurodevelopmental Disabilities

NPI 1003877663

Doctor of Medicine (M.D.)

NPI 1104983592

Doctor of Medicine (M.D.)

NPI 1134514854
Rukaiyah Ferguson , FNP

Nurse Practitioner - Family

NPI 1780089219

Family Nurse Practitioner

Dr. Jon Sicat , DO

Internal Medicine

NPI 1972552230

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location August 09, 2025

Registered at 166 LYONS AVE FL 1, NEWARK, NJ 071122016 (Tel: 9739267428)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2025

Pediatrics (License #299130 in NY)

👤
Provider Name / Credentials Updated June 16, 2019

Recorded as JISHA JACOB

NPI Profile Active April 06, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 06, 2016

Registered at 1400 PELHAM PKWY S, BRONX, NY 104611138 (Tel: 7189186981)

📍
Updated Business Mailing Address April 06, 2016

Registered at 1400 PELHAM PKWY S, BRONX, NY 104611138 (Tel: 7189186981)

👤
Provider Name / Credentials Updated April 06, 2016

Recorded as JISHA THOMAS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2016

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 06, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1437513363
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 06, 2016
Last Update: August 09, 2025
Sole Proprietor: No

Mailing Address

1400 Pelham Pkwy S

Bronx, NY 104611138

Phone: 7189186981

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.