RYAN R JACKSON (NPI# 1912566035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912566035 |
| Entity Type | Individual |
| Full Name | RYAN R JACKSON |
| Practice Address |
92 Broadway Denville NJ 07834-2761 |
| Mailing Address |
2501 Cottontail Ln Somerset NJ 08873-5125 |
| Practice Telephone | 9736270009 |
| Mailing Telephone | 7325297120 |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-06-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | 25MG00152600 | NJ | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194281287 | Ryan Theron Jackson | Behavior Technician | 1112 Parkway Cir N, Atlanta, GA 30340-6312 | 2019-02-14 |
| 1780665539 | Ryan Daniel Jackson | Chiropractor | 324 13th St, Franklin, PA 16323-1367 | 2005-11-09 |
| 1407318223 | Ryan C Jackson | Student in an Organized Health Care Education/Training Program | 22 S Greene St Rm N3e09, Baltimore, MD 21201-1595 | 2019-04-01 |
| 1164989257 | Ryan Jackson | Occupational Therapy Assistant | 535 S Elm St, Itasca, IL 60143-2187 | 2019-02-25 |
| 1194292060 | Ryan Jackson | Pharmacist | 960 Ross St, Heflin, AL 36264-1164 | 2018-10-30 |
| 1699153130 | Ryan Patrick Jackson | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr, Rm Hc435, Mc 5207, Stanford, CA 94305-2200 | 2015-05-18 |
| 1609216316 | Ryan L Jackson | Speech-Language Pathologist | 151 Southwest Dr, Jonesboro, AR 72401-5828 | 2013-06-26 |
| 1184060188 | Ryan Christopher Jackson | Emergency Medicine | 22 Bramhall St, Portland, ME 04102-3134 | 2013-05-16 |
| 1811125131 | Ryan Michael Jackson | Pharmacist | 2501 Cornhusker Dr, South Sioux City, NE 68776-3910 | 2009-06-25 |
| 1710114582 | Ryan Scott Jackson | Otolaryngology | 4921 Parkview Pl, Ste 11a, Saint Louis, MO 63110-1032 | 2009-06-18 |
| Street Address |
92 BROADWAY |
| City | DENVILLE |
| State | NJ |
| Zip Code | 07834-2761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083613269 | Lake Physicians and Hospital Supply | Durable Medical Equipment & Medical Supplies | 92 Broadway, Denville, NJ 07834-2761 | 2005-07-19 |
| 1275045627 | Audiology Services Company Usa, LLC | Clinic/Center | 92 Broadway, Denville, NJ 07834-2761 | 2017-10-25 |
| 1205387107 | Special Homes of New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 92 Broadway, Denville, NJ 07834-2761 | 2016-10-17 |
| 1154877439 | Tracy Lynn Kline | Hearing Instrument Specialist | 92 Broadway, Denville, NJ 07834-2761 | 2016-08-28 |
| 1073926655 | Kurt Schwarz | Hearing Instrument Specialist | 92 Broadway, Denville, NJ 07834-2761 | 2014-06-11 |
| 1013330679 | Richard Lewis Barr | Social Worker | 92 Broadway, Denville, NJ 07834-2761 | 2014-01-31 |
| 1639500796 | Special Homes of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 92 Broadway, Denville, NJ 07834-2761 | 2013-11-27 |
| 1750505640 | Lucretia Amelia Mcdermott | Counselor | 92 Broadway, Suite 103, Denville, NJ 07834-2761 | 2007-04-12 |
| 1689792871 | Deborah Kispert | Dietitian, Registered | 92 Broadway, Suite 204, Denville, NJ 07834-2761 | 2007-03-26 |
| 1003960170 | Laurie Swift | Social Worker | 92 Broadway, Suite 203, Denville, NJ 07834-2761 | 2007-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891304622 | Rosemarie Proven-fahy | Social Worker | 3175 Rt. 10 Building C, Suite 700, Denville, NJ 07834 | 2020-07-28 |
| 1568083327 | Anand Jetti | Student in an Organized Health Care Education/Training Program | Prime Healthcare Consortium At St. Mary's General Hospi, 25 Pocono Road, Denville, NJ 07834 | 2020-05-04 |
| 1265088892 | Absolute Awakenings Treatment Center LLC | Clinic/Center | 3000 Route 10 West, Denville, NJ 07834 | 2019-08-09 |
| 1326607243 | Recovery Zone Solutions, LLC | Clinic/Center | 124 East Main Street, Ste#109, Denville, NJ 07834 | 2019-06-13 |
| 1477022770 | Green Leaf Dentistry, LLC | Dentist | 3155 Route 10, Suite 201, Denville, NJ 07834 | 2018-11-15 |
| 1366955528 | Megan D Lukany | Social Worker | 4 2nd Ave Ste 208-b, Denville, NJ 07834 | 2017-11-09 |
| 1235680430 | Jennifer Jeanty | Nurse Practitioner | 280 W Main St Fl 2, Denville, NJ 07834 | 2016-10-22 |
| 1689129942 | Alejandro Castano | Dentist | 16 Pocono Rd Ste 213, Denville, NJ 07834 | 2016-08-16 |
| 1265830830 | Denville Physical Therapy, LLC | Physical Therapist | 3155 Rte 10 E, Suite 112, Denville, NJ 07834 | 2014-12-15 |
| 1538565577 | Michael T. Cocuzza | Counselor | 76 Broadway Ste 200h, Denville, NJ 07834 | 2014-11-18 |
| Find all providers in zip 07834 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154877439 | Tracy Lynn Kline | Hearing Instrument Specialist | 92 Broadway, Denville, NJ 07834-2761 | 2016-08-28 |
| 1073926655 | Kurt Schwarz | Hearing Instrument Specialist | 92 Broadway, Denville, NJ 07834-2761 | 2014-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437829 | Michael Gatto | Hearing Instrument Specialist | 2791 Hooper Ave, Brick, NJ 08723 | 2020-11-02 |
| 1770183170 | Jacqueline Krimm | Hearing Instrument Specialist | 3117 Route 38, Mount Laurel, NJ 08054-9752 | 2020-10-27 |
| 1649879453 | Duane Hunt | Hearing Instrument Specialist | 2005 Route 35, Oakhurst, NJ 07755-2761 | 2020-10-22 |
| 1134728173 | Shane Veight | Hearing Instrument Specialist | 201 Applegarth Rd, Monroe Township, NJ 08831-3753 | 2020-10-21 |
| 1144859570 | George Theofan | Hearing Instrument Specialist | 1 Sears Dr Ste 201, Paramus, NJ 07652-3510 | 2020-04-07 |
| 1396372413 | Shane J Hellhake | Hearing Instrument Specialist | 285 Route 18 Ste A, East Brunswick, NJ 08816-1900 | 2020-03-26 |
| 1114553237 | Elizabeth Marie Waldron | Hearing Instrument Specialist | 653 Rte 46 W Ste 3, Fairfield, NJ 07004-1595 | 2020-03-20 |
| 1215563416 | John Mena | Hearing Instrument Specialist | 179 Cedar Ln Ste D2, Teaneck, NJ 07666-4304 | 2020-03-19 |
| 1942836143 | Holly Byrne | Hearing Instrument Specialist | 90 Us Highway 206 # 150, Stanhope, NJ 07874-3128 | 2020-03-19 |
| 1396381869 | Eric M Robertshaw | Hearing Instrument Specialist | 730 Jamaica Blvd Ste 12, Toms River, NJ 08757-3758 | 2019-11-20 |
| Find all providers with the same taxonomy | ||||
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| 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.