DR. JONATHAN WILLIAM JACKSON


Address: 1468 Madison Ave Fl 8, New York, NY 10029-6508
Phone: 2122417473

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
402 S Wilbur Ave, Sayre, PA 188401512 7173831499

Other Providers JONATHAN JACKSON

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

Office Location

Street Address 1468 MADISON AVE FL 8
City NEW YORK
State NY
Zip Code 10029-6508

Providers in the same location

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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Providers in the same zip code

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 Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

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]

Providers in the same taxonomy and city

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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Competitor

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City NEW YORK
Zip Code 10029

Improve Information

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Dataset Information

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.

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