Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ellis Jacobs, PHD

Individual provider Diplomate Laboratory Management Specialist/Technologist · NPI 1720256910

Dr. Ellis Jacobs, PHD is a Diplomate Laboratory Management Specialist/Technologist in Teaneck, New Jersey. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2008
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

540 Wyndham Rd
Teaneck, NJ 07666-2612
Phone: (201) 836-1518
Fax: (212) 318-4699
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diplomate Laboratory Management Specialist/Technologist (primary) Taxonomy 246QL0901X · Licence JACOE1 (NY)

Record details

NPI number1720256910
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedFebruary 11, 2008
Last updated in NPPESJuly 1, 2013