MR. ROBERT JACKSON


Address: 853 Longwood Ave, Bronx, NY 10459-4000
Phone: 7185884460

MR. ROBERT JACKSON (NPI# 1396834990) 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) 1396834990
Entity Type Individual
Full Name MR. ROBERT JACKSON
Credential FNP
Practice Address 853 Longwood Ave
Bronx
NY 10459-4000
Practice Telephone 7185884460
Practice Fax Number 7188935493
Mailing Telephone 2125359779
Mailing Fax Number 2125357699
Enumeration Date 2006-10-12
Last Update Date 2010-02-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner F331987-1 NY Physician Assistants & Advanced Practice Nursing Providers

Other Providers ROBERT JACKSON

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1073942371 Robert Jackson Massage Therapist 502 11th St Se, Decatur, AL 35601-4908 2013-11-06
1447548573 Robert Joseph Jackson Licensed Practical Nurse 5454 East State St, Hermitage, PA 16148 2011-07-11
1457515330 Robert Anthony Jackson Dentist 2816 Veach Rd., Unit 305, Owensboro, KY 42303 2008-07-10
1437357399 Robert D Jackson Counselor 5525 Erindale Dr Ste 112, Colorado Springs, CO 80918-6960 2007-07-03
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Office Location

Street Address 853 LONGWOOD AVE
City BRONX
State NY
Zip Code 10459-4000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205021490 Montefiore Medical Center Clinic/Center 853 Longwood Ave, Mmc Chp Practice, Bronx, NY 10459-4000 2007-09-11
1780878405 Montefiore Medical Center Clinic/Center 853 Longwood Ave, Mmc Chp Practice, Bronx, NY 10459-4000 2007-09-06
1861546756 Deborah A Vasquez Pediatrics 853 Longwood Ave, Bronx, NY 10459-4036 2007-01-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912508458 Sterling Smiles LLC Dentist 1022 E163rd St, Bronx, NY 10459 2020-11-02
1710496633 Vitus C. Ezerioha Licensed Practical Nurse 870 Southern Blvd., Apt 1a, Bronx, NY 10459 2017-09-22
1790208403 Jessica S Lee Early Intervention Provider Agency 985 Intervale Ave Apt. 2c, Bronx, NY 10459 2017-07-25
1669901070 Ruthlyn Merrick Registered Nurse 1466 Louis Nine Blvd, Bronx, NY 10459 2017-06-08
1154865681 John Wahl Speech-Language Pathologist 977 Fox St., Is 217, Bronx, NY 10459 2016-12-19
1801349675 Aneesa Ible Social Worker 953 Southern Blvd, Suite 301, Odyssey House Inc., Bronx, NY 10459 2016-07-28
1457711277 Agboade Ademiju Registered Nurse 900 Intervale Ave, Archcare, Bronx, Bronx, NY 10459 2016-03-07
1952760076 Apollo Radio Dispatcher Taxi 801 Freeman Street, Bronx, NY 10459 2016-02-17
1730547522 Foxhurst Medical of New York LLC Surgery 947 Southern Blvd Ste B, Bronx, NY 10459 2016-02-08
1063892388 Vismar Radio Dispatch Inc. Taxi 1040-52 Freeman St, Bronx, NY 10459 2015-06-02
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

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1477188167 Ruth Yeboah Nurse Practitioner 1191 Clay Ave Apt Bb, Bronx, NY 10456-4230 2020-03-03
1326696402 Caring Link Family Np Health Pllc Nurse Practitioner 650 E 226th St, Bronx, NY 10466-3932 2019-08-31
1306328737 Lauretta Marie Tomaso Nurse Practitioner 500 East Fordham Road, Bronx, NY 10458 2018-09-01
1013498286 Access Care Np Psychiatry & Family Health, Pllc. Nurse Practitioner Access Care, Np In Family Health of New York, Pllc., 1985 Prospect Ave., Bronx, NY 10457-5160 2018-08-27
1710463641 Kenisha Smith Nurse Practitioner 1550 Townsend Ave Apt 6j, Bronx, NY 10452-6020 2018-07-13
1447618798 Neilpattie Singh Nurse Practitioner 257 Surf Dr, Bronx, NY 10473-2539 2016-02-02
1780009100 Vida Brobbey Nurse Practitioner 2390 Tiebout Ave Apt 5b, Bronx, NY 10458-7327 2014-02-21
1558601815 Loretta Gillman Fanelli Nurse Practitioner 668 Allerton Avenue, Bronx, NY 10467 2013-02-25
1740527746 Fang Xiang Nurse Practitioner 2800 Bruckner Blvd Ste 306, Bronx, NY 10465-1972 2013-01-10
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Competitor

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City BRONX
Zip Code 10459

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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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