ERIC M JACKSON (NPI# 1235131251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235131251 |
| Entity Type | Individual |
| Full Name | ERIC M JACKSON |
| Credential | M.D. |
| Practice Address |
16-18 Ridge Road North Rlington NJ 07031-6314 |
| Mailing Address |
16-18 Ridge Road North Arlington NJ 07031-6314 |
| Practice Telephone | 2019971010 |
| Practice Fax Number | 2019977436 |
| Mailing Telephone | 2019971010 |
| Mailing Fax Number | 2019977436 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2014-06-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 25MA03676900 | NJ | Allopathic & Osteopathic Physicians |
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
25MA03676900 | NJ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447728910 | Eric Jackson | Specialist/Technologist | 1219 6th Ave S, Birmingham, AL 35233 | 2018-11-02 |
| 1043725211 | Eric Jackson | Counselor | 51 Lima St, Aurora, CO 80010-4616 | 2017-12-09 |
| 1164733267 | Eric Jackson | Speech-Language Pathologist | 75 Pierrepont St Apt 3d, Brooklyn, NY 11201-2429 | 2010-06-23 |
| 1083764559 | Eric Jackson | Dentist | 9631b Fm 1960 Rd W, Houston, TX 77070-6110 | 2007-01-10 |
| 1518042233 | Eric A Jackson | Emergency Medicine | 811 Sixth Street, Suite #210, Wichita Falls, TX 76301 | 2006-10-25 |
| 1164510202 | Eric Winfred Jackson | Physical Therapist | 3662 Inwood Avenue, New Orleans, LA 70131 | 2006-10-11 |
| 1205298734 | Eric Jackson | Pediatrics | 240 E Huron St, Mcgaw Pavilion Suite 1-200, Chicago, IL 60611-2909 | 2016-03-23 |
| 1205200011 | Eric Jackson | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2015-11-17 |
| 1235531823 | Eric T Jackson | Social Worker | 110 Hidden Valley Rd, Mc Murray, PA 15317-2685 | 2014-09-25 |
| 1184047698 | Eric D Jackson | Psychologist | 35 Old Tavern Rd, Suite 103, Orange, CT 06477-3450 | 2014-02-04 |
| Street Address |
16-18 RIDGE ROAD |
| City | NORTH RLINGTON |
| State | NJ |
| Zip Code | 07031-6314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700058971 | Bharat Trivedi | Durable Medical Equipment & Medical Supplies | 374 Belleville Pike, North Arlington, NJ 07031 | 2008-03-28 |
| 1184821910 | Kent S Lerner | Orthopaedic Surgery | 17 Jauncey Avenue, No Arlington, NJ 07031 | 2007-06-27 |
| 1932282092 | Andrew Stanley Lubas | Family Medicine | 379 Ridge Road, North Arlington, NJ 07031 | 2006-10-23 |
| 1114011012 | Patients First Ltd LLC | Internal Medicine | 11 Ridge Road, North Arlington, NJ 07031 | 2006-10-03 |
| 1992710982 | Walgreen Eastern Co, Inc | Durable Medical Equipment & Medical Supplies | 475 Ridge Rd, North Arlington, NJ 07031 | 2006-07-29 |
| 1578525028 | Institute of Physical Therapy Inc | Physical Therapist | 108 Ridge Rd, North Arlington, NJ 07031 | 2006-04-03 |
| 1710949250 | Diane Stephanie Jankiewicz | Physical Therapist | 108 Ridge Road, North Arlington, NJ 07031 | 2006-04-03 |
| 1447415153 | Jillian Becker Md LLC | Clinic/Center | 38a Ridge Rd, North Arlingotn, NJ 07031 | 2008-07-22 |
| 1386786747 | Joseph G Tella | Dentist | 197 Ridge Rd, No Arlington, NJ 07031 | 2007-02-13 |
| 1336101872 | Susan Evelyn Manley | Physical Therapist | 108 Ridge Road, Ste D, North Arlington, NJ 07031 | 2006-04-03 |
| Find all providers in zip 07031 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003455072 | J Medical Practice LLC | Internal Medicine | 668 N Forest Dr, Teaneck, NJ 07666-2047 | 2019-12-23 |
| 1265944946 | Hari Brundavanam Md Pa | Internal Medicine | 1 Dumont Ct, Lawrenceville, NJ 08648-1334 | 2017-11-02 |
| 1548712847 | Magdy Wahba, Md | Internal Medicine | 401 Hamburg Tpke Ste 310, Wayne, NJ 07470-2139 | 2016-11-03 |
| 1558730705 | Academic Icu Doc, Pa | Internal Medicine | 5 Rushton Ct, West Windsor, NJ 08550-3320 | 2015-09-17 |
| 1396150082 | Howard Levy | Internal Medicine | 65 Van Dyke Rd, Hopewell, NJ 08525-1203 | 2014-06-22 |
| 1881011237 | Hany Abdallah | Internal Medicine | 27 Elm St Apt 3, Madison, NJ 07940-1553 | 2014-03-24 |
| 1952723132 | Deborah Kim | Internal Medicine | 51 French St # 491b, New Brunswick, NJ 08901 | 2014-01-07 |
| 1225459969 | Aloke Chakravarti | Internal Medicine | 1200 E Ridgewood Ave Ste 303, Ridgewood, NJ 07450-3937 | 2013-12-24 |
| 1184962227 | Salem Pulmonary, Critical Care and Sleep Medicine, LLC | Internal Medicine | 18 Lansbrook Ct, Sewell, NJ 08080-4113 | 2013-01-24 |
| 1194086694 | Kristen Denise Scatliffe | Internal Medicine | 5665 Kennedy Blvd, Apt 522, North Bergen, NJ 07047-3223 | 2012-05-31 |
| Find all providers with the same taxonomy | ||||
| City | NORTH RLINGTON |
| Zip Code | 07031 |
Please comment or provide details below to improve the information on ERIC M JACKSON.
| 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.