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Jacob continued his missionary labors in the East for 35 years until his death in 578 and is remembered to this day for his godliness, asceticism, and piety as well as for the many miracles he worked during his lifetime. His anaphora together with several of his letters and epistles survive to this day, as does his name, which is often used by Syriac Orthodox Christians to distinguish themselves from other Christian churches, particularly in India.
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Following his consecration Jacob left Constantinople and began his wide-ranging travels in Asia Minor, Mesopotamia, and Syria. Everywhere he went Jacob celebrated the divine services and taught and encouraged the Orthodox faithful who opposed Chalcedon. With the blessing of Pope Theodosius he also helped the remaining free bishops to consecrate new bishops to replace those executed or driven into exile, eventually consecrating some 27 bishops for the Orthodox of the Churches of Alexandria and Antioch. Among these were Patriarch Paul of Antioch, consecrated with Metropolitan Eugene of Seleucia in 550.
St. Jacob's [[relics]] remained at the monastery of his repose until 622, after which they were translated to the Phaselita Monastery by Metropolitan Mor Zacchaeus of Tella.