Eric Jackson MD, LLC

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

Legal business name

ERIC JACKSON MD, LLC

Practice address

16 Ridge Rd
North Arlington, NJ 07031-6339

Phone

(201) 997-1010

Fax

(201) 997-7436

NPI assigned

Dec 19, 2016

Last updated

Dec 19, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Eric Jackson, M.D.NPI 1235131251

Title

Physician/Owner

Phone

(201) 997-1010

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eric M Jackson, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • North Rlington, NJ
  • NPI 1235131251
  Authorized official Same address or phone

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482105600000",
    "number": "1215471743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 RIDGE ROAD",
            "city": "NORTH ARLINGTON",
            "state": "NJ",
            "postal_code": "07031",
            "telephone_number": "201-997-1010",
            "fax_number": "201-997-7436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 RIDGE RD",
            "city": "NORTH ARLINGTON",
            "state": "NJ",
            "postal_code": "070316339",
            "telephone_number": "201-997-1010",
            "fax_number": "201-997-7436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC JACKSON MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-19",
        "last_updated": "2016-12-19",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "201-997-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Anthony Duva, PH.D.
• Melanie Dwornik, R.D.
• Edward P Chesney Jr
• Edward P. Chesney DC PA
• Richard Alan Ekstein, DMD
• Frank Augustus Evans Jr., M.D.
• Michael Farina
• John R Favetta, MD
• Danielle M Fries, APN
• Jayalakshmi Ganapathy, MD

• Critical Care Medicine (Internal Medicine) Physician in North Arlington, NJ
• Providers in North Arlington, NJ by specialty
• Critical Care Medicine (Internal Medicine) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; 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.