Edith J. Jackson, NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NJ00415600 Issued in NJ

Practice address

1414 Main Ave
Clifton, NJ 07011-2157

Phone

(973) 253-6000

NPI assigned

Jan 29, 2013

Last updated

Sep 19, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Edith J. Salgado Former name

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Internal Medicine and Geriatrics Practice, IncGroup PAC ID 5597767426, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Joseph's University Medical Center Inc Hospital, Paterson, NJ, CCN 310019

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FAJGAA
• FHIR API: https://fhir4.healow.com/fhir/r4/FAJGAA/Endpoint/FAJGAA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Internal Medicine and Geriatrics Practice, Inc

  • Primary Care Clinic/Center
  • Clifton, NJ
  • NPI 1598803264
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Josephs University Medical Center Inc.

  • General Acute Care Hospital
  • Paterson, NJ
  • NPI 1669462420
  Care Compare affiliation

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1346588183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 CIDER MILL RD",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075063001",
            "telephone_number": "973-253-6000",
            "fax_number": "973-253-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112157",
            "telephone_number": "973-253-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Bergen St",
            "address_purpose": "LOCATION",
            "city": "Garfield",
            "state": "NJ",
            "postal_code": "070262207",
            "country_code": "US",
            "telephone_number": "201-920-1824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "EDITH",
        "middle_name": "J.",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-29",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00415600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDITH",
            "last_name": "SALGADO",
            "middle_name": "J.",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Svetlana Ivkovic
• Ifeoma Iwelumo, MD
• Marjorie Izaguirre, MA, LPC, NCC
• Michele Anthea Izuchukwu, RPH
• J&C Medical Supplies,LLC.
• Ariel Isaiah Jacob, DO
• Shobha Jacob, MS OTR CHT
• Jeffrey Michael Jacobs, DPM
• Sharon Lea Jacobsen, MA LPC
• Jacqueline Smith, MD PC

• Adult Health Nurse Practitioner in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.