J'S House

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

J'S HOUSE

Practice address

433 Lyons Avenue
Irvington, NJ 07111

Phone

(973) 820-8469

NPI assigned

May 10, 2022

Organization subpart

No

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

Authorized official

Name

Naazir Jackson

Title

Ceo

Phone

(973) 820-8469

Specialties & licenses 1

Addresses

Other names 1

• Essex County Community Corporation Former legal business name

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1154067353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 LYONS AVENUE",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "07111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 LYONS AVENUE",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "07111",
            "telephone_number": "973-820-8469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J'S HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "NAAZIR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-820-8469"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Essex County Community Corporation",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Irvington Physical Therapy
• Irvington Primary Care LLC
• Callista Ngozi Iwuala, APN-C
• Jennifer Iwudibia, PHARMD
• Vaishnavi Ravindran Iyer, BDS, MPH, DDS
• Jackie Soul Catering LLC
• Bethany I Jackson
• Nichole Jackson, LCSW
• Sherrell Jackson
• Anne Marie Jacobs

• Clinic/Center in Irvington, NJ
• Providers in Irvington, NJ by specialty
• Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.