Marven Wallen & S. Kenneth Jacobson, MD PA
NPI 1053507566 · General Practice Physician · Maplewood, NJ
Marven Wallen & S. Kenneth Jacobson, MD PA is a General Practice Physician organization in Maplewood, NJ (NPI 1053507566).
Provider details
- NPI number
- 1053507566
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Marven Wallen, Owner/Administrator(973) 763-5010
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-09-18
- Last updated
- 2008-06-19
Frequently asked questions
- What is Marven Wallen & S. Kenneth Jacobson, MD PA's NPI number?
- Marven Wallen & S. Kenneth Jacobson, MD PA's National Provider Identifier (NPI) is 1053507566, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Marven Wallen & S. Kenneth Jacobson, MD PA?
- Marven Wallen & S. Kenneth Jacobson, MD PA is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Marven Wallen & S. Kenneth Jacobson, MD PA located?
- Marven Wallen & S. Kenneth Jacobson, MD PA's practice location on file with NPPES is 1985 Springfield Ave, Maplewood, NJ 07040-3435.
- What is Marven Wallen & S. Kenneth Jacobson, MD PA's phone number?
- The practice phone number listed in the NPPES registry for Marven Wallen & S. Kenneth Jacobson, MD PA is (973) 763-5010.
- Who is the authorized official for Marven Wallen & S. Kenneth Jacobson, MD PA?
- The authorized official listed on Marven Wallen & S. Kenneth Jacobson, MD PA's NPPES record is Marven Wallen, Owner/Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Marven Wallen & S. Kenneth Jacobson, MD PA's NPI active?
- Yes — Marven Wallen & S. Kenneth Jacobson, MD PA's NPI (1053507566) is active in the NPPES registry as of the last update on 2008-06-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.