Jackie Soul Catering LLC

Primary specialty

Forensic PsychologistTaxonomy code 103TF0200X

Legal business name

JACKIE SOUL CATERING LLC

Practice address

14 Walter PL
Irvington, NJ 07111-2692

Phone

(201) 247-0234

NPI assigned

Aug 25, 2026

Organization subpart

No

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

Authorized official

Name

Mr. Harquan Maurice Williams Jr.

Title

Owner

Phone

(201) 247-0234

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1787616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1124935200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 WALTER PL",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071112692",
            "telephone_number": "201-247-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 WALTER PL",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071112692",
            "telephone_number": "201-247-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKIE SOUL CATERING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-25",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "HARQUAN",
        "authorized_official_middle_name": "MAURICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-247-0234",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Forensic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irvington Primary Care LLC
• Callista Ngozi Iwuala, APN-C
• Jennifer Iwudibia, PHARMD
• Vaishnavi Ravindran Iyer, BDS, MPH, DDS
• J'S House
• Bethany I Jackson
• Nichole Jackson, LCSW
• Sherrell Jackson
• Anne Marie Jacobs
• Jaime R. Soriano MD PA

• Forensic Psychologist in Irvington, NJ
• Providers in Irvington, NJ by specialty
• Forensic Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.