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Samuel Sunny Jacob, D.O.

NPI 1134651391ActiveIndividual· Physical Medicine & Rehabilitation, Sports Medicine· Ridgewood, NJ

Physical Medicine & Rehabilitation, Sports Medicine (D.O.) in Ridgewood, New Jersey, trained at National College of Chiropractic (class of 2017). 228 Medicare patients in 2024, $108,825 paid; nearly all of their 677 Part D prescriptions were generic (93%). Djo, LLC was the largest of 2 companies reporting payments in 2025, $38.57 in all, mostly food and beverage.

Overview

NPI1134651391
StatusActive
Entity typeIndividual
CredentialD.O.
Sole proprietorNo
NPI issuedMar 28, 2017
Last updated in NPPESAug 18, 2022
Certified by providerAug 18, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Physical Medicine & Rehabilitation, Sports Medicine Primary2081S0010X25MB11490200NJ

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physical Medicine and Rehabilitation (NJ)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients228
Services billed3,570 across 37 procedure codes
Paid by Medicare$108,825

Part D prescriptions in 2024

Prescriptions (claims)677 · 837 30-day fills
Patients194
Total drug cost$15,632
Generic share93% of claims

Medicare sources and data years

Education and affiliations

Medical schoolNational College of Chiropractic
Graduation year2017
Medicare specialtyPhysical Medicine And Rehabilitation

Medical group

Hospital affiliations

Other facilities

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$38.57 · 2 payments from 2 companies
  • 2024$227.98 · 6 payments from 5 companies

Top paying companies in 2025

CompanyAmountPayments
Djo, LLC$20.681
Abbvie Inc.$17.891

What the 2025 payments were for

  • Food and Beverage$38.57 · 2 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Physical Medicine & Rehabilitation, Sports Medicine providers in Ridgewood

All Physical Medicine & Rehabilitation, Sports Medicine providers in New Jersey