What is Justin Jacob's NPI number?

Justin Jacob's National Provider Identifier (NPI) is 1174468078, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Justin Jacob's specialty?

Justin Jacob is listed in the NPPES registry with a primary specialty of Perfusionist (Technologists, Technicians & Other Technical Service Providers).

Where is Justin Jacob located?

Justin Jacob's practice location on file with NPPES is 45211 Helm St, Plymouth, MI 48170-6023.

What is Justin Jacob's phone number?

The practice phone number listed in the NPPES registry for Justin Jacob is (734) 525-9712.

Is Justin Jacob's NPI active?

Yes — Justin Jacob's NPI (1174468078) is active in the NPPES registry as of the last update on 2026-04-20.

IndividualActive

Justin Jacob

NPI 1174468078 · Perfusionist · Plymouth, MI

Justin Jacob is a Perfusionist provider in Plymouth, MI (NPI 1174468078).

Provider details

NPI number: 1174468078
Entity type: Individual
Primary specialty: PerfusionistTechnologists, Technicians & Other Technical Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

PerfusionistPrimary242T00000X
Technologists, Technicians & Other Technical Service Providers

Profile Score

Basic profile(46/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
83% 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

45211 Helm St

Plymouth, MI 48170-6023

Phone: (734) 525-9712

Fax: (734) 525-9712

Street-level locationGet directions

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Mailing address