HARRY JACKSON MD PC (NPI# 1265411474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265411474 |
| Entity Type | Organization |
| Organization Name | HARRY JACKSON MD PC |
| Practice Address |
140 Alcott Pl Bronx NY 10475-4302 |
| Mailing Address |
2600 Netherland Ave Bronx NY 10463-4801 |
| Practice Telephone | 7183794444 |
| Mailing Telephone | 7183794444 |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2008-01-07 |
| Authorized Official Name | HARRY JACKSON (SOLE PROPRIETER) |
| Authorized Official Telephone | 7183794444 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | 511301 | NY | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00196483 | 05 |
| Street Address |
140 ALCOTT PL |
| City | BRONX |
| State | NY |
| Zip Code | 10475-4302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285245134 | Liz-arlette Ndonku | Registered Nurse | 140 Alcott Pl, Bronx, NY 10475-4302 | 2020-08-13 |
| 1790049864 | Titanya Diloach | Specialist | 140 Alcott Pl, # 29-g, Bronx, NY 10475-4302 | 2012-07-03 |
| 1215229539 | Clara Fagbeyiro | Registered Nurse | 140 Alcott Pl, Apt-3h, Bronx, NY 10475-4302 | 2011-05-04 |
| 1053487199 | Emma L. Bowen Community Center | Case Management | 140 Alcott Pl, Apt.18k, Bronx, NY 10475-4302 | 2006-11-28 |
| 1619062270 | A Richard Sulcov | Dentist | 140 Alcott Pl, Bldg 19, Bronx, NY 10475 | 2006-10-03 |
| 1457331209 | Harry Jackson | Legal Medicine | 140 Alcott Pl, Bronx, NY 10475-4302 | 2006-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154973048 | Sharon Antoinette Hall | Registered Nurse | 2552 Pelham Bay Park West, Apt 1 D, 2551 Pelham Bay Park West, Bronx, NY 10475 | 2019-07-11 |
| 1265912042 | Bartow Pharmacy Inc. | Pharmacy | 500-5 Baychester Ave. Store #5, Bronx, NY 10475 | 2018-08-21 |
| 1518465996 | Jacqueline Caraballo | Nurse Practitioner | 100 De Kruif Place Apt 27h, Bronx, NY 10475 | 2018-01-31 |
| 1093227142 | Rachel Obeng Mireku | Licensed Practical Nurse | 140 Dekruif Place, Apt # 26k, Bronx, NY 10475 | 2017-10-30 |
| 1023534518 | Nelson Merritt Hall | Chiropractor | 2100 Bartow Ave, Ste #227, Bronx, NY 10475 | 2017-08-17 |
| 1245769363 | Sharon Holland Johnson | Licensed Practical Nurse | 140 Dekruif Pl, Bronx, NY 10475 | 2017-06-12 |
| 1740719152 | Nadia S Etienne | Licensed Practical Nurse | 120 De Kruif Place, Apt 18h, Bronx, NY 10475 | 2017-06-08 |
| 1407385891 | Ashley N Freeze | Case Manager/Care Coordinator | 140 Darrow Place Suite 24e, Bronx, NY 10475 | 2017-06-08 |
| 1912454091 | Usth.inc | Early Intervention Provider Agency | 120 Coop City Blvd, 21-f, Bronx, NY 10475 | 2016-09-06 |
| 1447626130 | Zelda Boomer | Registered Nurse | 920 Coop City Blvd Bx. Ny 10475, Bronx, NY 10475 | 2015-08-17 |
| Find all providers in zip 10475 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023366861 | Marco T Hernandez Physician PC | Legal Medicine | 1024 E 163rd St, Bronx, Bronx, NY 10459-4309 | 2012-08-28 |
| 1972838589 | Srinivas M. Ravi Md PC | Legal Medicine | 4256 Bronx Blvd # 1, Bronx, NY 10466-2611 | 2009-10-15 |
| 1295993947 | Neopeds Medical Services | Legal Medicine | 800 Grand Concourse Frnt 5, Bronx, NY 10451-3003 | 2008-05-29 |
| 1881864114 | J & N Medical Services | Legal Medicine | 1840 Grand Concourse, Bronx, NY 10457-5502 | 2008-03-03 |
| 1972670693 | Okon E Umana | Legal Medicine | 2955 Webster Ave, Bronx, NY 10458-2424 | 2006-11-29 |
| 1528142932 | Hunts Point Multi-service Center., Inc | Legal Medicine | 754 E 151st St, Same, Bronx, NY 10455-3267 | 2006-10-24 |
| 1255305900 | Southern Westchester Diabetes, PC | Legal Medicine | 226 W 238th St # A, Bronx, NY 10463-2423 | 2006-02-16 |
| 1326012972 | Steven Erik Ginsberg | Legal Medicine | 2391 Arthur Ave, Bronx, NY 10458-8185 | 2006-02-13 |
| 1508846262 | Edward Cotlier | Legal Medicine | 966 Southern Blvd, Bronx, NY 10459-3409 | 2006-01-19 |
| 1639581093 | Martha Shih Wong Md | Legal Medicine | 860 Grand Concourse, Suite 1c, Bronx, NY 10451-2814 | 2014-05-20 |
| Find all providers in BRONX | ||||
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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.