Jackson Pokres, PMHNP -BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ15128800 Issued in NJ

Practice address

406 Northfield Ave
Northfield, NJ 08225-1823

Phone

(609) 350-3218

Fax

(732) 454-5321

NPI assigned

Sep 12, 2024

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Abby Road Psychiatric Services LLCGroup PAC ID 1658615638, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Abby Road Psychiatric Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Red Bank, NJ
  • NPI 1053807305
  Medicare reassignment Care Compare group NPD
• Signify Health Medical Associates of New Jersey, LLC

  • General Practice Physician
  • Princeton, NJ
  • NPI 1174187728
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1033945381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 NORTHFIELD AVE",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251823",
            "telephone_number": "609-350-3218",
            "fax_number": "732-454-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 NORTHFIELD AVE",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251823",
            "telephone_number": "609-350-3218",
            "fax_number": "732-454-5321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POKRES",
        "first_name": "JACKSON",
        "credential": "PMHNP -BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-12",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15128800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoenix Associates LLC
• Physicians Choice Dialysis of Northfield LLC
• Jennifer Anne Pierpoint, OTR/L
• Danielle Piscal
• Platinum Providers Group LLC
• Ronaldo Portuguez, PHYSICAL THERAPIST
• Laura J Potter, MSW, LCSW
• Prestige of Northfield Amdc, LLC
• Ashley Procopio, PA-C
• Progressive Applied Behavioral Treatment

• Psychiatric/Mental Health Nurse Practitioner in Northfield, NJ
• Providers in Northfield, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.