Active NPI
Naomi Josephine Jackman, M.D.
- Pediatrics Physician
- Port Washington, NY
National Provider Identifier
1093776676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 206424
- Practice address
- 211 Main St
Port Washington, NY 11050-3211 - Phone
- (516) 944-8555
- Fax
- (516) 944-0387
- NPI assigned
- Mar 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 206424 | NY | Primary |
Addresses
Primary practice location
211 Main St
Port Washington, NY 11050-3211
Mailing address
211 Main St
Port Washington, NY 11050-3211
Phone (516) 944-8555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 206424 | NY | MD | Pediatrics Physician |
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1093776676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 MAIN ST",
"city": "PORT WASHINGTON",
"state": "NY",
"postal_code": "110503211",
"telephone_number": "516-944-8555",
"fax_number": "516-944-0387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 MAIN ST",
"city": "PORT WASHINGTON",
"state": "NY",
"postal_code": "110503211",
"telephone_number": "516-944-8555",
"fax_number": "516-944-0387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKMAN",
"first_name": "NAOMI",
"middle_name": "JOSEPHINE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-31",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "206424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Washington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.