Jill Jackson (NPI# 1376626960, PAC ID# 0840396404) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1376626960 |
| PAC ID by PECOS | 0840396404 |
| Professional Enrollment ID | I20070428000118 |
| Full Name | Jill Jackson |
| Organization Legal Name | NBIMC DEPARTMENT OF INTERNAL |
| Address |
201 Lyons Ave L4 Newark NJ 07112-2027 |
| Phone Number | 9739267472 |
| Gender | F |
| Graduation Year | 2005 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7113814401 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310002 | NEWARK BETH ISRAEL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 201 Lyons Ave, L4, Newark, NJ 07112-2027 | 9739267472 | NBIMC DEPARTMENT OF INTERNAL |
| Organization Legal Name | NBIMC DEPARTMENT OF INTERNAL |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rafia Hussaini | Internal Medicine | Nbimc Department of Internal | 201 Lyons Ave, L4, Newark, NJ 07112-2027 |
| Sushama Srivastava | Internal Medicine | Nbimc Department of Internal | 201 Lyons Ave, L4, Newark, NJ 07112-2027 |
| Johanny Garcia | Internal Medicine | Nbimc Department of Internal | 201 Lyons Ave, L4, Newark, NJ 07112-2027 |
| Jose R Bustillo | Internal Medicine | Nbimc Department of Internal | 201 Lyons Ave, L4, Newark, NJ 07112-2027 |
| Muhammad Ayub | Internal Medicine | Nbimc Department of Internal | 201 Lyons Ave, L4, Newark, NJ 07112-2027 |
| Christian A Engell | Infectious Disease | Nbimc Department of Internal | 201 Lyons Ave, L4, Newark, NJ 07112-2027 |
| Sandhya Nagarakanti | Infectious Disease | Nbimc Department of Internal | 201 Lyons Ave, L4, Newark, NJ 07112-2027 |
| Eliahu Bishburg | Infectious Disease | Nbimc Department of Internal | 201 Lyons Ave, L4, Newark, NJ 07112-2027 |
| Nelson O Aluya | Internal Medicine | Nbimc Department of Internal | 201 Lyons Ave, L4, Newark, NJ 07112-2027 |
| Joshua C Oderanti | Nurse Practitioner | Nbimc Department of Internal | 201 Lions Ave, Newark, NJ 07112-2027 |
| Street Address |
201 LYONS AVE L4 |
| City | NEWARK |
| State | NJ |
| Zip | 07112-2027 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter M Farrugia | Cardiovascular Disease (cardiology) | Barnabas Health Medical Group P C | 201 Lyons Ave, Newark, NJ 07112-2027 |
| Juraj Lukac | Psychiatry | Barnabas Health Medical Group P C | 201 Lyons Ave, Newark, NJ 07112-2027 |
| Daniel Goltz | Emergency Medicine | Newark Beth Israel Emergency Medical Associates LLC | 201 Lyons Ave, Newark, NJ 07112-2027 |
| Natasha Kasabwala | Internal Medicine | Riverbank Inpatient Medical Associates LLC | 201 Lyons Ave, Newark, NJ 07112-2027 |
| Maulik M Trivedi | Emergency Medicine | Newton Inpatient Medical Associates LLC | 201 Lyons Ave, Newark, NJ 07112-2027 |
| Erin T Devery | Nurse Practitioner | Nbimc Department of Heart | 201 Lyons Ave, Newark, NJ 07112-2027 |
| Mimi N Ton | Pediatric Medicine | Nbimc Neonatal Associates | 201 Lyons Ave, Suite C9, Newark, NJ 07112-2027 |
| Ritu Chandak | Psychiatry | Barnabas Health Medical Group P C | 201 Lyons Ave, Newark, NJ 07112-2027 |
| Xinlai Sun | Pathology | University Physician Associates of New Jersey Inc | 201 Lyons Ave, Newark, NJ 07112-2027 |
| Shakeerah M Lockhart | Nurse Practitioner | Newton Inpatient Medical Associates LLC | 201 Lyons Ave, Newark, NJ 07112-2027 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Homer L Nelson | Internal Medicine | 410 Chancellor Ave, Newark, NJ 07112-1030 | |
| Cindy Sturt | Vascular Surgery | Nbimc Department of Surgery | 166 Lyons Ave, Newark, NJ 07112-2016 |
| Razia S Awan | Internal Medicine | 156 Lyons Ave, Newark, NJ 07112-2016 | |
| Beena J Joseph | Nurse Practitioner | Nbimc Department of Surgery | 166 Lyons Ave, Newark, NJ 07112-2016 |
| Jonathan C Dunn | Endocrinology | Newark Beth Israel Medical Center Inc | 166 Lyons Ave, Newark, NJ 07112-2016 |
| Tatiana Ambarus | Obstetrics/gynecology | Newark Beth Israel Medical Center Inc | 166 Lyons Ave, Newark, NJ 07112-2016 |
| David Stephen Pertsemlidis | General Surgery | Nbimc Department of Surgery | 166 Lyons Ave, Newark, NJ 07112-2016 |
| Misbah Salam | Neurology | 166 Lyons Ave, Newark, NJ 07112-2016 | |
| Harvey K Bucholtz | Endocrinology | Newark Beth Israel Medical Center Inc | 166 Lyons Ave, Newark, NJ 07112-2016 |
| Cynthia A Galeota | Certified Nurse Midwife (cnm) | Newark Beth Israel Medical Center Inc | 166 Lyons Ave, Newark, NJ 07112-2016 |
| Find all physicians in zip 07112 | |||
| City | NEWARK |
| Zip Code | 07112 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | NEWARK + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jill Jackson.
| 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.