Active NPI
Norma J Jackson, M.D.
- Anesthesiology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 236085
- Practice address
- 1 Gustave L Levy PL
Anesthesiology - Box 1010
New York, NY 10029-6500 - Phone
- (800) 627-4470
- Fax
- (412) 937-5767
- NPI assigned
- Nov 21, 2005
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 236085 | NY | Primary |
Addresses
Primary practice location
1 Gustave L Levy PL
Anesthesiology - Box 1010
New York, NY 10029-6500
Mailing address
PO Box 12023
Newark, NJ 07101-5023
Phone (212) 427-2666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02671832 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Ohio University, College of Osteopathic Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 Wall St
Suite 175
New York, NY 10005-3904
Phone (212) 362-3470
515 Madison Ave
RM 705
New York, NY 10022-5462
Phone (212) 675-2997
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Igor Amigud Physician P.C. | Current | Accepting new patients | |
| Noam Kurtis MD PC | Anesthesiology | Current | Accepting new patients |
| Premier Anesthesia of New York, P.C. | Anesthesiology | Current | Accepting new patients |
| Fpa Hospital Based | Past | Accepting new patients |
Locations
46 W Oak St
Amityville, NY 11701
Phone (718) 670-5631
529 Central Ave
Dunkirk, NY 14048
Phone (716) 338-9797
1041 3rd Ave
Ofc Of
New York, NY 10065
Phone (212) 362-3470
2233 State Route 86
Saranac Lake, NY 12983
Phone (518) 891-4141
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- New York, NY
- NPI 1881949055
-
- Specialist
- New York, NY
- NPI 1245337989
-
- Anesthesiology Physician
- Saranac Lake, NY
- NPI 1063658961
-
- Dermatopathology (Pathology) Physician
- New York, NY
- NPI 1841531795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1619950029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12023",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071015023",
"telephone_number": "212-427-2666",
"fax_number": "212-289-6929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 GUSTAVE L LEVY PL",
"address_2": "ANESTHESIOLOGY - BOX 1010",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296500",
"telephone_number": "800-627-4470",
"fax_number": "412-937-5767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "NORMA",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-21",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "236085",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02671832",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
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.
- 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.