DR. JONATHAN WILLIAM JACKSON (NPI# 1033772603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033772603 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN WILLIAM JACKSON |
| Credential | MD |
| Practice Address |
1468 Madison Ave Fl 8 New York NY 10029-6508 |
| Practice Telephone | 2122417473 |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2020-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 402 S Wilbur Ave, Sayre, PA 188401512 | 7173831499 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861754004 | Jonathan George Jackson | Registered Nurse | 120 Stockton Rd, Chuckey, TN 37641-5900 | 2012-06-13 |
| 1659659621 | Jonathan Brian Jackson | Dentist | 422 1/2 Violet Ave, Monrovia, CA 91016-6731 | 2011-07-25 |
| 1295354660 | Jonathan Jackson | Licensed Vocational Nurse | 8700 Crownhill Blvd, San Antonio, TX 78209-1136 | 2020-04-15 |
| 1790029171 | Jonathan Levi Jackson | Pharmacist | 7305 N Military Trl, Riviera Beach, FL 33410-7417 | 2012-11-26 |
| 1164713467 | Jonathan Jackson | Clinic/Center | 425 Broadway St, Paducah, KY 42001-0713 | 2011-04-21 |
| 1205158730 | Jonathan L Jackson | Counselor | 1104a S Main St, Lexington, NC 27292-3134 | 2010-02-25 |
| 1295062792 | Jonathan Mark Jackson | Physical Therapist | 1000 3rd St, Tillamook, OR 97141-3430 | 2009-11-05 |
| 1891954566 | Jonathan D Jackson | Dentist | 335 E 400 S, Springville, UT 84663-1959 | 2008-06-06 |
| 1629273735 | Jonathan Wesley Jackson | Nurse Anesthetist, Certified Registered | 500 Lauchwood Drive, Laurinburg, NC 28352-5501 | 2007-06-19 |
| 1467577700 | Jonathan M Jackson | Psychologist | 140 Riverside Drive, 1r, New York, NY 10024 | 2007-03-19 |
| Street Address |
1468 MADISON AVE FL 8 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10029-6508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881125672 | Mark Honest Kim | Student in an Organized Health Care Education/Training Program | 1468 Madison Ave Fl 8, New York, NY 10029 | 2017-03-23 |
| 1932729720 | Jorge Antonio Roa Loor | Student in an Organized Health Care Education/Training Program | 1468 Madison Ave Fl 8, New York, NY 10029-6508 | 2020-04-21 |
| 1801423587 | Abigail Jane Pianelli | Student in an Organized Health Care Education/Training Program | 1468 Madison Ave Fl 8, New York, NY 10029-6508 | 2020-03-24 |
| 1518523265 | Georgios Maragkos | Student in an Organized Health Care Education/Training Program | 1468 Madison Ave Fl 8, New York, NY 10029-6508 | 2019-05-17 |
| 1366903809 | Brian Michael Licht | Student in an Organized Health Care Education/Training Program | 1468 Madison Ave Fl 8, New York, NY 10029-6508 | 2019-03-27 |
| 1578023412 | Girard Francis Gibbons | Student in an Organized Health Care Education/Training Program | 1468 Madison Ave Fl 8, New York, NY 10029-6508 | 2019-03-25 |
| 1619437548 | Alexander Jay Schupper | Student in an Organized Health Care Education/Training Program | 1468 Madison Ave Fl 8, New York, NY 10029-6508 | 2019-03-25 |
| 1730649047 | Alexander Domanski | Student in an Organized Health Care Education/Training Program | 1468 Madison Ave Fl 8, New York, NY 10029-6508 | 2019-03-22 |
| 1356800122 | Michael Swerdloff | Student in an Organized Health Care Education/Training Program | 1468 Madison Ave Fl 8, New York, NY 10029-6508 | 2019-03-19 |
| 1134626237 | James Nicholas Maher | Student in an Organized Health Care Education/Training Program | 1468 Madison Ave Fl 8, New York, NY 10029-6508 | 2018-04-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547029 | Erica Marie Mclaughlin | Counselor | 109 E. 115th Street, New York, NY 10029 | 2020-10-30 |
| 1992305601 | Ayan Kumar | Student in an Organized Health Care Education/Training Program | New York Medical College/ Metropolitan Hospital, 1901, First Avenue, New York City, NY 10029 | 2020-10-30 |
| 1538767306 | Noily Noemi Nezbeth | Registered Nurse | 1 Gustav Levy, New York, NY 10029 | 2020-10-14 |
| 1457959652 | Marwan Nihad Abdel Rauf Yusuf | Student in an Organized Health Care Education/Training Program | Metropolitan Hospital Center Department of Medicine, 1901, 1 St Avenue, New York, NY 10029 | 2020-10-12 |
| 1225635014 | Alice Liang | Registered Nurse | 35 East 110th St, New York, NY 10029 | 2020-10-05 |
| 1013525724 | Avihai Moscovici | Student in an Organized Health Care Education/Training Program | 1 Gustave L. Levy Pl, New York, New York, NY 10029 | 2020-07-20 |
| 1912523473 | Gayathri Sreenivasan | Student in an Organized Health Care Education/Training Program | 1901, 1st Avenue, Metropolitan Hospital Center, Department of Pediatrics, New York, NY 10029 | 2020-06-22 |
| 1417572801 | Rachana Borkar | Student in an Organized Health Care Education/Training Program | 1901, 1st Avenue, New York, Metropolitan Hospital Center Department of Int Medicine, New York, NY 10029 | 2020-06-11 |
| 1831713197 | Dania Isabel Antunez | Student in an Organized Health Care Education/Training Program | 1901 1 St Avenue, New York, NY 10029 | 2020-06-02 |
| 1972122323 | Antoine Beayno | Student in an Organized Health Care Education/Training Program | The Mount Sinai Hospital- 1468 Madison Ave, New York City, NY 10029 | 2020-04-15 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881671 | Celeste Finelli | Student in an Organized Health Care Education/Training Program | 255 W 36th St Rm 201, New York, NY 10018-7700 | 2020-11-06 |
| 1407457310 | Omri Sulimani | Student in an Organized Health Care Education/Training Program | 1425 Madison Ave Ste L4-60, New York, NY 10029-6514 | 2020-11-06 |
| 1215537931 | Gloria Helena Gomez Arenas | Student in an Organized Health Care Education/Training Program | 220 East 57th Street, Apt 5c, New York, NY 10022 | 2020-10-30 |
| 1033719216 | Vanessa Tee-ting Ng | Student in an Organized Health Care Education/Training Program | 1 Park Avenue, Nyu Langone Child Study Center, 7th Floor, New York, NY 10016 | 2020-10-28 |
| 1457959652 | Marwan Nihad Abdel Rauf Yusuf | Student in an Organized Health Care Education/Training Program | Metropolitan Hospital Center Department of Medicine, 1901, 1 St Avenue, New York, NY 10029 | 2020-10-12 |
| 1558968537 | Yiyang Zhang | Student in an Organized Health Care Education/Training Program | 1000 10th Ave Fl 2, New York, NY 10019-1147 | 2020-10-03 |
| 1699372706 | Anna Jane Dare | Student in an Organized Health Care Education/Training Program | 1275 York Avenue Department of Surgery, Memorial Sloan, Kettering Cancer Center, New York, NY 10065 | 2020-10-02 |
| 1285241018 | Grace A Forrester | Student in an Organized Health Care Education/Training Program | 517 W 121st St Apt 604s, New York, NY 10027-5901 | 2020-09-25 |
| 1235746199 | Christopher Alexis Perez Lizardo | Student in an Organized Health Care Education/Training Program | 515 W 59th St Apt 29b, New York, NY 10019-1042 | 2020-09-24 |
| 1568077014 | Toshihide Kuroe | Student in an Organized Health Care Education/Training Program | 35-20 90th Street, Jackson Heights, Queens, New York, NY 11372 | 2020-09-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.