DR. RALPH K. JACKSON (NPI# 1558312637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558312637 |
| Entity Type | Individual |
| Full Name | DR. RALPH K. JACKSON |
| Credential | M.D. |
| Practice Address |
1727 Amsterdam Ave 3rd Floor New York NY 10031-4611 |
| Mailing Address |
Po Box 601 New York NY 10031-0601 |
| Practice Telephone | 2122830333 |
| Practice Fax Number | 2122344954 |
| Mailing Telephone | 2122830333 |
| Mailing Fax Number | 2122344954 |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2017-12-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 127939 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00524543 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073763793 | Ralph T Jackson Jr. | Hearing Instrument Specialist | 2015 Palmyra Rd, Albany, GA 31701-1576 | 2008-09-30 |
| 1558467043 | Ralph A Jackson | Internal Medicine | 4390 Pleasant Hill Rd Ste D, Duluth, GA 30096-8054 | 2006-09-15 |
| 1104817154 | Ralph Dudley Jackson IIi | Dentist | 1400 Metro Dr, Alexandria, LA 71301-3451 | 2005-10-31 |
| 1750377271 | Ralph H Jackson | Optometrist | 105 Dawson St, Edinburg, TX 78539-6401 | 2005-09-20 |
| 1508869231 | Ralph L Jackson | Dentist | 105 Highland Ave, Cornelia, GA 30531-4366 | 2005-05-26 |
| 1669950614 | Ralph Norman Jackson Jr. | Social Worker | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2018-08-01 |
| 1720107675 | Ralph Jackson | Licensed Practical Nurse | 813 Fay Rd, Syracuse, NY 13219-3009 | 2007-03-29 |
| 1033131446 | Ralph Jackson | Emergency Medicine | 2701 W 68th St, Chicago, IL 60629-1813 | 2006-07-24 |
| 1609867522 | Ralph Dudley Jackson Jr. | Dentist | 1400 Metro Dr, Suite B, Alexandria, LA 71301-3451 | 2005-10-31 |
| Street Address |
1727 AMSTERDAM AVE 3RD FLOOR |
| City | NEW YORK |
| State | NY |
| Zip Code | 10031-4611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801408372 | Kristin Morris | Social Worker | 1727 Amsterdam Ave, New York, NY 10031-4611 | 2020-08-17 |
| 1295344877 | Paige Marley Zeitz | Social Worker | 1727 Amsterdam Ave, New York, NY 10031-4611 | 2020-07-29 |
| 1790303691 | Melissa Croy | Social Worker | 1727 Amsterdam Ave, New York, NY 10031-4611 | 2020-07-08 |
| 1346879780 | Elizabeth Wilson | Music Therapist | 1727 Amsterdam Ave, New York, NY 10031-4611 | 2020-04-07 |
| 1265065023 | Pedro Roman | Counselor | 1727 Amsterdam Ave, New York, NY 10031-4611 | 2020-02-19 |
| 1235777319 | Karina Esther Cornelio | Counselor | 1727 Amsterdam Ave, New York, NY 10031-4611 | 2019-12-19 |
| 1336785484 | Lorwilb Liriano | Social Worker | 1727 Amsterdam Ave, New York, NY 10031-4611 | 2019-11-25 |
| 1932744430 | Dana Ashli Gale Lyttle | Social Worker | 1727 Amsterdam Ave, New York, NY 10031-4611 | 2019-11-08 |
| 1881237386 | Desiree Rodriguez | Counselor | 1727 Amsterdam Ave, New York, NY 10031-4611 | 2019-10-28 |
| 1972144947 | Breanna Drew | Social Worker | 1727 Amsterdam Ave, New York, NY 10031-4611 | 2019-10-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346883675 | Lisa Tian Chen | Physician Assistant | 160 Convent Ave., Harris Hall #15, New York, NY 10031 | 2019-10-18 |
| 1699329144 | Dianna Rosario | Registered Nurse | 640 Riverside Drive, New York, NY 10031 | 2019-08-01 |
| 1447767058 | Sophie Jetta Miller | Social Worker | 507 West 140th Street, #43, New York, NY 10031 | 2018-01-04 |
| 1376074005 | Broadway Rx Enterprises Inc | Pharmacy | 3489 Broadway, New York, NY 10031 | 2017-03-24 |
| 1174061469 | Mbene Diop | In Home Supportive Care | 505 West 148 St Apt 4a, New York, NY 10031 | 2017-02-07 |
| 1447702691 | Sylvan Roger Maginley Jr. | General Practice | 302 Convent Avenue 6, New York, NY 10031 | 2016-11-03 |
| 1477009124 | Anthony Mcfadden | Counselor | 625 West 140th Street, Manhattan, NY 10031 | 2016-08-31 |
| 1942754601 | E-green Pharmacy Inc | Pharmacy | 3500 Broadway, New York, NY 10031 | 2016-08-11 |
| 1356712657 | Sandra Bulos | Internal Medicine | 3410-18 Broadway 2nd Fl, New York, NY 10031 | 2015-10-13 |
| 1033591375 | Phillip Carron | Family Medicine | 3556 Broadway, New York, NY 10031 | 2015-06-23 |
| Find all providers in zip 10031 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104383660 | Shani Golan | Ophthalmology | 325 E 64th St, New York, NY 10065-6709 | 2019-02-20 |
| 1205391224 | Gautam Kamthan Md PC | Ophthalmology | 250 E 39th St Apt 11g, New York, NY 10016-2178 | 2019-02-04 |
| 1851876213 | James Chelnis Md PC | Ophthalmology | 110 E 40th St Rm 404, New York, NY 10016-1817 | 2018-10-01 |
| 1174037758 | Oculus Medical Eye Care PC | Ophthalmology | 139 Centre St Ste 618, New York, NY 10013 | 2017-11-19 |
| 1376054007 | Hudson Yards Surgery Center, LLC | Ophthalmology | 450 West 31st Street, 2s, New York, NY 10001 | 2017-10-20 |
| 1730617614 | Successful Vision Corp | Ophthalmology | 252 W 79th St, New York, NY 10024-6102 | 2017-05-23 |
| 1356877781 | Kunyong Xu | Ophthalmology | 1305 York Ave 11th Floor, Weill Cornell Eye Associates, New York, NY 10021 | 2017-05-04 |
| 1356717441 | Jose Quintero | Ophthalmology | 85 E 10th St Apt L, New York, NY 10003-5457 | 2015-08-12 |
| 1669850731 | Jane Song | Ophthalmology | 310 E 14th St Ste 603s, New York, NY 10003-4284 | 2015-05-11 |
| 1023404175 | Aliaa Abdelhakim Hamed | Ophthalmology | 635 W 165th St # 96, New York, NY 10032 | 2015-04-15 |
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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.