TALICIA JACKSON


Address: 94 Old Short Hills Rd Ste 1, Livingston, NJ 07039-5668
Phone: 9733225281

TALICIA JACKSON (NPI# 1053932178) 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) 1053932178
Entity Type Individual
Full Name TALICIA JACKSON
Credential MD
Practice Address 94 Old Short Hills Rd Ste 1
Livingston
NJ 07039-5668
Practice Telephone 9733225281
Mailing Telephone 9733225281
Enumeration Date 2020-04-29
Last Update Date 2020-04-29
Gender Code F
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

Office Location

Street Address 94 OLD SHORT HILLS RD STE 1
City LIVINGSTON
State NJ
Zip Code 07039-5668

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003109893 Erik Dienna Pediatrics 94 Old Short Hills Rd Ste 1, Livingston, NJ 07039-5668 2011-05-26
1376140905 Lauren K Randolph Registered Nurse 94 Old Short Hills Rd Ste 1, Livingston, NJ 07039-5668 2020-10-06
1538780721 Stephanie Casey Student in an Organized Health Care Education/Training Program 94 Old Short Hills Rd Ste 1, Livingston, NJ 07039-5668 2020-04-29
1700414240 Raquel Santos Physician Assistant 94 Old Short Hills Rd Ste 1, Livingston, NJ 07039-5668 2020-03-30
1710518345 Galina Gendelman Nurse Practitioner 94 Old Short Hills Rd Ste 1, Livingston, NJ 07039-5668 2020-02-02
1265072102 John Tomasello Nurse Anesthetist, Certified Registered 94 Old Short Hills Rd Ste 1, Livingston, NJ 07039-5668 2020-01-08
1336785955 Nicole Bratchenko Nurse Practitioner 94 Old Short Hills Rd Ste 1, Livingston, NJ 07039-5668 2019-11-19
1407407729 Michelle Hildi Millman Physician Assistant 94 Old Short Hills Rd Ste 1, Livingston, NJ 07039-5668 2019-09-27
1144876855 Marcella Symone Garner Nurse Practitioner 94 Old Short Hills Rd Ste 1, Livingston, NJ 07039-5668 2019-08-18
1710540877 Hala Horani Student in an Organized Health Care Education/Training Program 94 Old Short Hills Rd Ste 1, Livingston, NJ 07039-5668 2019-04-15
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770184111 Dentistry With A Smile, Inc. Durable Medical Equipment & Medical Supplies 1100 Town Center Way, 14-a-ii, Livingston, NJ 07039 2020-11-03
1326692104 Amy Beth Lipsey Social Worker Amy Lipsey, 301 South Livingston Avenue, Livingston, NJ 07039 2019-07-30
1427543412 Bodypro Physical Therapy, LLC Physical Therapist 5 Country Club Ct, Livingston, NJ 07039 2018-06-22
1538665245 Kushal Shukla Student in an Organized Health Care Education/Training Program 20 Canoe Brook Dr, Livingston, NJ 07039 2018-04-02
1629594643 Northeast Pulmonary and Sleep Medical LLC Specialist 506 Regent Street, Suite A, Livingston, NJ 07039 2017-08-22
1184154098 Snf Old Short Hills Operating Company, LLC Skilled Nursing Facility 348 East Cedar Street, Livingston, NJ 07039 2017-06-13
1093254690 Suzanne M Verbesky Dpm LLC Clinic/Center 44 West Mcclellan Avenue, Livingston, NJ 07039 2017-02-15
1649723743 Essex County Weightloss, LLC Internal Medicine 5 Regent St Ste 509, Livingston, NJ 07039 2016-07-26
1912352824 Grant Arzumanov Student in an Organized Health Care Education/Training Program 94 Old Short Hills Rd., Livingston, NJ 07039 2016-04-28
1891158671 Journey's Eve Counseling LLC Counselor 2 Northfield Rd, 210a, Livingston, NJ 07039 2016-03-30
Find all providers in zip 07039

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
1538665245 Kushal Shukla Student in an Organized Health Care Education/Training Program 20 Canoe Brook Dr, Livingston, NJ 07039 2018-04-02
1821594755 Matthew Garrett Student in an Organized Health Care Education/Training Program 9 Northfield Ct, Livingston, NJ 07039-4623 2018-03-31
1033641469 Michael Kennth Dalton Student in an Organized Health Care Education/Training Program 94 Old Short Hills Rd Dept Of, Livingston, NJ 07039-5672 2017-04-03
1811428469 Kimberly Alzuphar Student in an Organized Health Care Education/Training Program 44 Wingate Dr, Livingston, NJ 07039-3518 2017-03-24
1912352824 Grant Arzumanov Student in an Organized Health Care Education/Training Program 94 Old Short Hills Rd., Livingston, NJ 07039 2016-04-28
1326492893 Jordan Benjamin Elman Student in an Organized Health Care Education/Training Program 299 E Cedar St, Livingston, NJ 07039-4218 2016-04-20
1760836878 Steven Shapiro Student in an Organized Health Care Education/Training Program 6 Alpine Way, Livingston, NJ 07039-4706 2016-04-15
1700259595 Kelly Devota Edwards Student in an Organized Health Care Education/Training Program 100 North Washington St Station 14, Livingston, AL 35470 2015-11-03
1396010187 Rohini Reveti Raman Dhar Student in an Organized Health Care Education/Training Program 17 Lockhern Dr, Livingston, NJ 07039-6224 2012-03-13
1457376824 Bradley Scott Montgomery Student in an Organized Health Care Education/Training Program Uwa Station 14, Livingston, AL 35470-0682 2006-07-13
Find all providers in LIVINGSTON

Competitor

Search similar providers

City LIVINGSTON
Zip Code 07039

Improve Information

Please comment or provide details below to improve the information on TALICIA JACKSON.

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.

Trending Searches