DR. JACOB COLE JACKSON (NPI# 1588907240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588907240 |
| Entity Type | Individual |
| Full Name | DR. JACOB COLE JACKSON |
| Credential | M.D. |
| Practice Address |
525 E 68th St Box 124 New York NY 10065-4870 |
| Practice Telephone | 2127462959 |
| Practice Fax Number | 2127468563 |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2017-02-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982162905 | Jacob S Jackson | Physical Therapist | 4110 S Water Tower Pl, Mount Vernon, IL 62864-6544 | 2019-03-08 |
| 1134629405 | Jacob Jackson | Registered Nurse | 1800 W 1st St Ste 105b, Elk City, OK 73644-3133 | 2018-02-13 |
| 1003366329 | Jacob Jerry Jackson | Counselor | 1700 Helmer St, Sioux City, IA 51103-2834 | 2016-10-11 |
| 1568812683 | Jacob Jackson | Community Health Worker | 2615 Cleveland Hwy, Dalton, GA 30721-8160 | 2016-06-20 |
| 1114386620 | Jacob Jackson | Chiropractor | 5801 S Fashion Blvd, Suite 210, Murray, UT 84107-6159 | 2016-02-12 |
| 1861832644 | Jacob Jackson | Surgery | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 | 2013-06-26 |
| 1831316892 | Jacob Anthony Jackson | Family Medicine | 10800 Magnolia Ave, Family Medicine, Riverside, CA 92505-3043 | 2007-04-19 |
| Street Address |
525 E 68TH ST BOX 124 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10065-4870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952307266 | Kevin Holcomb | Obstetrics & Gynecology | 525 E 68th St, J-130, New York, NY 10065-4870 | 2005-06-22 |
| 1881295632 | Cathy Liu | Registered Nurse | 525 E 68th St, New York, NY 10065-4870 | 2020-11-06 |
| 1336740638 | Gina Papili | Nurse Practitioner | 525 E 68th St, New York, NY 10065-4870 | 2020-11-03 |
| 1740880186 | Seulgi Heo | Registered Nurse | 525 E 68th St, New York, NY 10065-4870 | 2020-10-26 |
| 1518564954 | Paramjit Kaur Sembhi | Physician Assistant | 525 E 68th St, New York, NY 10065-4870 | 2020-10-08 |
| 1679170260 | Matthew Seeba | Physician Assistant | 525 E 68th St, New York, NY 10065-4870 | 2020-10-06 |
| 1407463144 | Claire L Douglass | Physician Assistant | 525 E 68th St, New York, NY 10065-4870 | 2020-09-27 |
| 1669088274 | Alison Nicole Lyle-bonaparte | Nurse Practitioner | 525 E 68th St, New York, NY 10065-4870 | 2020-09-18 |
| 1831703743 | Melissa Ann Rice | Nurse Practitioner | 525 E 68th St, New York, NY 10065-4870 | 2020-09-08 |
| 1467066191 | Nicholas Christopher Craven | Physician Assistant | 525 E 68th St, New York, NY 10065-4870 | 2020-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699372706 | Anna Jane Dare | Student in an Organized Health Care Education/Training Program | 1275 York Avenue Department of Surgery, Memorial Sloan, Kettering Cancer Center, New York, NY 10065 | 2020-10-02 |
| 1609480987 | Kimberly Ann Oppenheim | Physician Assistant | 525 E. 68th Street. Box# 325, Inpatient Oncology Pa Service, New York, NY 10065 | 2020-09-03 |
| 1043829252 | Bridget Maginity | Physician Assistant | 1283 York Ave 14th Floor, New York, NY 10065 | 2020-07-24 |
| 1154948016 | Andrew Timothy Mclean | Student in an Organized Health Care Education/Training Program | Memorial Sloan Kettering Cancer Centre, 1275 York Ave, New York, NY 10065 | 2020-06-26 |
| 1972128700 | Seeminder Brar | Anesthesiology | Weill Cornell Medicine - Department of Anesthesiology, 525 East 68th Street, New York, NY 10065 | 2020-06-08 |
| 1114548245 | Mohamed Medhat Soliman | Student in an Organized Health Care Education/Training Program | 525 East 68th Street, Room F734, New York-presbyterian Hospital/weill Cornell Medical Ce, Manhattan, NY 10065 | 2020-04-29 |
| 1700417672 | Carlos Henrique Dos Anjos | Internal Medicine | 300 E 66th St, New York, Ny, New York, NY 10065 | 2020-01-30 |
| 1134788557 | Marvin Herbert Braun | Student in an Organized Health Care Education/Training Program | Department of Neurology, Sixth Floor, Weill Cornell Med, 525 East 68 St., New York, NY 10065 | 2019-06-10 |
| 1356907356 | Andrew Garton | Student in an Organized Health Care Education/Training Program | New York Weill Cornell Medical Center, 525 E 68th St, New York, NY 10065 | 2019-05-15 |
| 1104481845 | Rana Abualsaud | Student in an Organized Health Care Education/Training Program | New York Presbyterian Hospital, 525 E 68th St, Room M130, New York City, NY 10065 | 2019-05-08 |
| Find all providers in zip 10065 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881671 | Celeste Finelli | Student in an Organized Health Care Education/Training Program | 255 W 36th St Rm 201, New York, NY 10018-7700 | 2020-11-06 |
| 1407457310 | Omri Sulimani | Student in an Organized Health Care Education/Training Program | 1425 Madison Ave Ste L4-60, New York, NY 10029-6514 | 2020-11-06 |
| 1215537931 | Gloria Helena Gomez Arenas | Student in an Organized Health Care Education/Training Program | 220 East 57th Street, Apt 5c, New York, NY 10022 | 2020-10-30 |
| 1033719216 | Vanessa Tee-ting Ng | Student in an Organized Health Care Education/Training Program | 1 Park Avenue, Nyu Langone Child Study Center, 7th Floor, New York, NY 10016 | 2020-10-28 |
| 1457959652 | Marwan Nihad Abdel Rauf Yusuf | Student in an Organized Health Care Education/Training Program | Metropolitan Hospital Center Department of Medicine, 1901, 1 St Avenue, New York, NY 10029 | 2020-10-12 |
| 1558968537 | Yiyang Zhang | Student in an Organized Health Care Education/Training Program | 1000 10th Ave Fl 2, New York, NY 10019-1147 | 2020-10-03 |
| 1699372706 | Anna Jane Dare | Student in an Organized Health Care Education/Training Program | 1275 York Avenue Department of Surgery, Memorial Sloan, Kettering Cancer Center, New York, NY 10065 | 2020-10-02 |
| 1285241018 | Grace A Forrester | Student in an Organized Health Care Education/Training Program | 517 W 121st St Apt 604s, New York, NY 10027-5901 | 2020-09-25 |
| 1235746199 | Christopher Alexis Perez Lizardo | Student in an Organized Health Care Education/Training Program | 515 W 59th St Apt 29b, New York, NY 10019-1042 | 2020-09-24 |
| 1568077014 | Toshihide Kuroe | Student in an Organized Health Care Education/Training Program | 35-20 90th Street, Jackson Heights, Queens, New York, NY 11372 | 2020-09-11 |
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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.