Active NPI
Magalie Saint-Lot Jacques, M.D
- Child & Adolescent Psychiatry Physician
- Jackson, NJ
National Provider Identifier
1144512674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- AB5518634004
- Practice address
- 31 Bridgewater CT
Jackson, NJ 08527-4030 - Phone
- (732) 642-7863
- Fax
- (718) 221-7633
- NPI assigned
- May 3, 2011
- 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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | AB5518634004 | NY | Primary |
Addresses
Primary practice location
31 Bridgewater CT
Jackson, NJ 08527-4030
Mailing address
31 Bridgewater CT
Jackson, NJ 08527-4030
Phone (732) 642-7863
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 |
|---|---|---|---|
| AB5518634004 | NY | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304380800000",
"number": "1144512674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 BRIDGEWATER CT",
"city": "JACKSON",
"state": "NJ",
"postal_code": "085274030",
"telephone_number": "732-642-7863",
"fax_number": "718-221-7633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 BRIDGEWATER CT",
"city": "JACKSON",
"state": "NJ",
"postal_code": "085274030",
"telephone_number": "732-642-7863",
"fax_number": "718-221-7633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACQUES",
"first_name": "MAGALIE",
"middle_name": "SAINT-LOT",
"name_prefix": "Mrs.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-03",
"last_updated": "2011-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NY",
"license": "AB5518634004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.