Jacob Sage in New Brunswick - Neurology

Jacob Sage - NPI 1912072109

Jacob Sage is a Neurology in New Brunswick, New Jersey. Jacob Sage practices all healthcare services and medical treatments related to Neurology. The NPI Number for Jacob Sage is 1912072109. The last update date is 2011-09-21.

Jacob Sage's current location address is 125 Paterson St, New Brunswick, New Jersey. You can contact this provider via phone number 7322357733. The mailing address for Jacob Sage is 125 Paterson St, New Brunswick, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Jacob Sage
Address 125 Paterson St, New Brunswick, New Jersey
Phone Number 7322357733
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1912072109
Provider Enumeration Date 2006-11-22
Last Updated Date 2011-09-21

Provider Mailing Address Detail

Address 125 Paterson St
City New Brunswick
State New Jersey (NJ)
Post Code 89011962
Phone Number 7322357733
Fax Number

Provider's Primary Taxonomy Detail

Speciality Neurology
Taxonomy 2084N0400X
Licence No 25MA02762200
Definition:
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
130005904 NJ RR MCR PTAN
1903802 NJ --

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FAQs about Jacob Sage

What is the unique identifier code issued to Jacob Sage by the Centers for Medicare & Medicaid Services (CMS)?

The Jacob Sage has been assigned the NPI (National Provider Identifier) 1912072109. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Jacob Sage is physically located?

The Jacob Sage is physically situated at the following address: 125 Paterson St, New Brunswick, NJ, 89011962.

What is Jacob Sage's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jacob Sage's area of specialization is Neurology, and the corresponding taxonomy code that categorizes this field of practice is 2084N0400X.

On what date did Jacob Sage receive its 1912072109 assignment from the Centers for Medicare & Medicaid Services?

The Jacob Sage was assigned its 1912072109 on 2006-11-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Jacob Sage most recently updated or revised?

The information pertaining to Jacob Sage, including its address, specialty, and other relevant details, was last updated or revised on 2011-09-21.

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