Mort Jacobs Inc
Mort Jacobs Inc is a healthcare organization registered as Community/Retail Pharmacy in Paterson, NJ, holding Type 2 (organization) NPI 1417095613 since 2007. The authorized official on file is Bhavini Shah, Pic.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1417095613 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Mort Jacobs Inc |
| Other name | <Unavail> |
| Practice address | 506 PARK AVE, Paterson, NJ, 07504 |
| Phone | 9732794600 |
| Enumeration date | 2007-02-01 |
| Last updated in NPPES | 2026-02-22 |
Authorized official
| Name | Bhavini Shah |
|---|---|
| Title | Pic |
| Phone | 9732794600 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy | Primary | 28RS00648000 | NJ |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0069183 | Medicaid | NJ | — |
Copy-ready billing details
Provider: Mort Jacobs Inc NPI: 1417095613 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 506 PARK AVE, Paterson, NJ, 07504
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1558686808 | Randal Meglio | Individual | Pharmacist | Paterson, NJ |
Verify this record
Cross-check NPI 1417095613 against the authoritative CMS record: view Mort Jacobs Inc on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Mort Jacobs Inc?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-02-22.