Tony Jacob, PA-C
NPI 1396096236ActiveIndividual· Physician Assistant· Paramus, NJ
Physician Assistant (PA-C) in Paramus, New Jersey, licensed in NJ and NY, with an NPI issued in October 2012. Enrolled in Medicare as practitioner - physician assistant. Seapearl East, Inc reported $225.12 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1396096236 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | Yes |
| NPI issued | Oct 1, 2012 |
| Last updated in NPPES | Jun 3, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 25MP00294500 | NJ |
| Physician Assistant | 363A00000X | 015918 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NJ) |
|---|
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Physician Assistant |
Industry payments (Open Payments)
- 2024$225.12 · 2 payments from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Seapearl East, Inc | $225.12 | 2 |
What the 2024 payments were for
- Food and Beverage$225.12 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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