PATRICK JACKSON (NPI# 1619062908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619062908 |
| Entity Type | Individual |
| Full Name | PATRICK JACKSON |
| Practice Address |
16 Washington St Toms River NJ 08753-7643 |
| Practice Telephone | 7329141171 |
| Practice Fax Number | 7329148472 |
| Mailing Telephone | 7329141171 |
| Mailing Fax Number | 7329148472 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
22DI01880900 | NJ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295341097 | Patrick Dale Jackson | Pharmacist | 19300 S Hamilton Ave Ste 170-180, Gardena, CA 90248-4400 | 2020-09-17 |
| 1871141457 | Patrick Dior Jackson | Counselor | 5111 S 3rd St, Louisville, KY 40214-2601 | 2019-08-28 |
| 1962968560 | Patrick Jackson | Behavior Technician | 918 Eisenhower Dr, Rock Springs, WY 82901-4449 | 2019-02-19 |
| 1427273713 | Patrick Louis Jackson Sr. | Durable Medical Equipment & Medical Supplies | 58110 W W Harleaux St, Plaquemine, LA 70764-3230 | 2007-04-13 |
| 1093253833 | Patrick Jackson | Chiropractor | 630 National Hwy, Thomasville, NC 27360-2601 | 2017-02-01 |
| 1629414701 | Patrick Jackson | Emergency Medicine | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2013-05-16 |
| 1548587835 | Patrick E Jackson | Internal Medicine | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2010-04-26 |
| 1508865940 | Patrick Jackson | Surgery | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2005-07-19 |
| Street Address |
16 WASHINGTON ST |
| City | TOMS RIVER |
| State | NJ |
| Zip Code | 08753-7643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801858766 | Gurpreet Chatha | Dentist | 16 Washington St, Toms River, NJ 08753-7643 | 2006-04-05 |
| 1619161874 | Jeffrey Trafecante | Dentist | 16 Washington St, Toms River, NJ 08753-7643 | 2007-08-30 |
| 1194941930 | Michael Dzitzer | Dentist | 16 Washington St, Toms River, NJ 08753-7643 | 2007-04-18 |
| 1487744413 | Andrew G Viglianti | Dentist | 16 Washington St, Toms River, NJ 08753-7643 | 2006-10-13 |
| 1710077839 | Jayesh Gohel | Dentist | 16 Washington St, Toms River, NJ 08753-7643 | 2006-10-13 |
| 1427168756 | Nikolaos Gavrilis | Dentist | 16 Washington St, Toms River, NJ 08753-7643 | 2006-08-30 |
| 1093744401 | Joseph T Shore | Dentist | 16 Washington St, Toms River, NJ 08753-7643 | 2006-06-30 |
| 1679537781 | Yury Bechutsky | Dentist | 16 Washington St, Toms River, NJ 08753-7643 | 2006-04-14 |
| 1811951833 | David Lam | Dentist | 16 Washington St, Toms River, NJ 08753-7643 | 2006-04-14 |
| 1487617114 | Jeffrey Demilt | Dentist | 16 Washington St, Toms River, NJ 08753-7643 | 2006-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831712769 | Rashidah Nicole Hansen | Counselor | 35 W Water St, Suite # 1a, Toms River, NJ 08753 | 2020-05-27 |
| 1801425350 | Kadidiatou Diawara | Non-emergency Medical Transport (VAN) | 1747 Hooper Ave #15, 1747 Hooper Ave #15, Toms River, NJ 08753 | 2020-04-06 |
| 1225676018 | Encore Dental of Toms River | Dentist | 1220 Hooper Avenue, Toms River, NJ 08753 | 2019-12-12 |
| 1922651900 | Alice Marin | Massage Therapist | 917-5 Route 166, Toms River, NJ 08753 | 2019-07-19 |
| 1013407931 | Thompson Medical and Chiropractic LLC | Chiropractor | 810 Hooper Ave Ste 1, Toms River, NJ 08753 | 2018-05-16 |
| 1306335070 | Shannon Lane Shimrock | Speech-Language Pathologist | 866 Goose Creek Rd., Toms River, NJ 08753 | 2018-05-08 |
| 1760981237 | Sonali Dhir | Nurse Practitioner | Rediclinic Toms River 811 Fischer Blvd, Rediclinic Toms River, Toms River, NJ 08753 | 2018-02-09 |
| 1104351048 | Care Finders Total Care LLC | Home Health | 1314 Route 9, Pleasant Plaza, Unit 8, Toms River, NJ 08753 | 2017-04-28 |
| 1053850354 | Future Project | Day Training, Developmentally Disabled Services | 473 Us 206, Andover, NJ 08753 | 2017-02-20 |
| 1730631664 | Natasha Neves | Speech-Language Pathologist | 19 Bear Mountain Court, Toms River, NJ 08753 | 2016-10-26 |
| Find all providers in zip 08753 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700410156 | Garden State Smiles Toms River | Dentist | 599 Nj 37#1, Toms River, NJ 08755 | 2020-02-25 |
| 1356595797 | Silver Ridge Dental, PC | Dentist | 569 Lakehurst Rd, Toms River, NJ 08755-8045 | 2008-11-12 |
| 1568627404 | Myron Fishbein | Dentist | 1939 Hooper Ave, Toms River, NJ 08753 | 2008-07-21 |
| 1760656573 | William S Ditchkus | Dentist | 1016 Route 37 W, Toms River, NJ 08755-5020 | 2008-04-14 |
| 1285806513 | Village Family Dental P.c | Dentist | 306 Hooper Ave, Toms River, NJ 08753-7610 | 2008-03-27 |
| 1780861641 | Michael O'halloran | Dentist | 941 Route 37 W, Toms River, NJ 08755-5054 | 2008-01-23 |
| 1326222654 | Nicholas James Demasi | Dentist | 512 Woodview Rd, Toms River, NJ 08755-2149 | 2007-12-21 |
| 1649483322 | Thomas Bench | Dentist | 171 Route 37 E, Toms River, NJ 08753-5502 | 2007-05-08 |
| 1114130093 | Ron Rotem | Dentist | 355 Lakehurst Rd, Toms River, NJ 08755-7335 | 2007-05-08 |
| 1255456372 | Bruce T Daudelin | Dentist | 778 Commons Way Ste J, Toms River, NJ 08755-6431 | 2007-03-20 |
| Find all providers in TOMS RIVER | ||||
| City | TOMS RIVER |
| Zip Code | 08753 |
Please comment or provide details below to improve the information on PATRICK 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.