Active NPI
Roy F Jackson, DC
- Chiropractor
- Bloomfield, NJ
National Provider Identifier
1376584532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2557
- Practice address
- 362 Franklin St
Bloomfield, NJ 07003-3415 - Phone
- (973) 748-3006
- Fax
- (973) 680-0307
- NPI assigned
- Jun 9, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2557 | NJ | Primary |
Addresses
Primary practice location
362 Franklin St
Bloomfield, NJ 07003-3415
Mailing address
362 Franklin St
Bloomfield, NJ 07003-3415
Phone (973) 748-3006
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2557 | NJ | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1376584532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "362 FRANKLIN ST",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070033415",
"telephone_number": "973-748-3006",
"fax_number": "973-680-0307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "362 FRANKLIN ST",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070033415",
"telephone_number": "973-748-3006",
"fax_number": "973-680-0307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "ROY",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "2557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.