Thomas Edward Jackson


Address: 47 Maple St, Suite 205, Summit, NJ 07901-2571
Phone: 9085229400

Thomas Edward Jackson (NPI# 1245330950, PAC ID# 0446384325) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1245330950
PAC ID by PECOS 0446384325
Professional Enrollment ID I20100813000490
Full Name Thomas Edward Jackson
Address 47 Maple St
Suite 205
Summit
NJ 07901-2571
Phone Number 9085229400
Gender M
Graduation Year 1981
Primary Specialty INTERNAL MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
310051 OVERLOOK MEDICAL CENTER

Other Locations

Address Phone Organization
47 Maple St, Suite 205, Summit, NJ 07901-2571 9085229400

Organization Information

Office Location

Street Address 47 MAPLE ST
SUITE 205
City SUMMIT
State NJ
Zip 07901-2571

Physicians in the same location

Name Specialty Organization Address
Brian D Anderson Chiropractic 47 Maple St, Suite 108, Summit, NJ 07901-2571
Linda A Wackerman Clinical Social Worker 47 Maple St, Suite 330, Burlington, VT 05401-5097
Kristine M Karge Clinical Social Worker Water's Edge Psychotherapy and Wellness Center 47 Maple St, Suite 304, Burlington, VT 05401-4861
Jeffrey C Pollock Neurology Vigman and Pollock, Pa 47 Maple St, Summit, NJ 07901-2571
Melvin P Vigman Neurology Vigman and Pollock, Pa 47 Maple St, Summit, NJ 07901-2571

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Name Specialty Organization Address
Manoj M Trivedi Internal Medicine 802 Old Springfield Ave, Summit, NJ 07901-1130
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Nicole Pecoraro Physical Therapy Professional Orthopedic and Sports Physical Therapy of Nj LLC 68 River Rd, Summit, NJ 07901-1450
Lillian Chomiszak Physical Therapy Professional Orthopedic and Sports Physical Therapy of Nj LLC 68 River Rd, Summit, NJ 07901-1450
Adam Lee Physical Therapy Professional Orthopedic and Sports Physical Therapy of Nj LLC 68 River Rd, Summit, NJ 07901-1450
Marc P Jaffe Chiropractic 45 River Rd, Summit, NJ 07901-1452
Jiyong L Kwon Optometry Seeclear Associates LLC 52 Deforest Ave, Summit, NJ 07901-1930
Jinghui Zhang Optometry Seeclear Associates LLC 52 Deforest Ave, Summit, NJ 07901-1930
Ira Strenger Optometry Seeclear Associates LLC 52 Deforest Ave, Summit, NJ 07901-1930
Joseph A Viviano Optometry Seeclear Associates LLC 52 Deforest Ave, Summit, NJ 07901-1930
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Competitor

Search similar physicians

City SUMMIT
Zip Code 07901
Specialty INTERNAL MEDICINE
City + Specialty SUMMIT + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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