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Marven Wallen & S. Kenneth Jacobson, MD PA

General Practice Physician in Maplewood, NJ · enumerated 2007 · authorized official Marven Wallen, Owner/Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053507566

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Registry record

Entity type Organization (Type 2)
Legal business name Marven Wallen & S. Kenneth Jacobson, MD PA
Practice address 1985 Springfield Ave, Maplewood, NJ, 07040
Phone (973) 763-5010
Fax (973) 761-6980
Enumeration date Sep 18, 2007
Last updated in NPPES Jun 19, 2008

Taxonomy & classification

208D00000X General Practice Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Marven Wallen
Title Owner/Administrator
Phone (973) 763-5010

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Marven Wallen & S. Kenneth Jacobson, MD PA located?
The practice location on file with NPPES is in Maplewood, NJ.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-06-19. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-06-19.