Wadeeha Mahasin Jackson, M.B.A

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

HP0275400 Issued in NJ

Practice address

55 Madison Ave Ste 4
Morristown, NJ 07960-7337

Phone

(973) 285-3184

NPI assigned

May 1, 2018

Last updated

May 1, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration

State licenses

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525132800000",
    "number": "1639668015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MADISON AVE STE 4",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607337",
            "telephone_number": "973-285-3184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MADISON AVE STE 4",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607337",
            "telephone_number": "973-285-3184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "WADEEHA",
        "middle_name": "MAHASIN",
        "credential": "M.B.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-01",
        "last_updated": "2018-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NJ",
            "license": "HP0275400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivyrehab Network Inc
• Cynthia Leray Jackson, LCSW
• Erin Tanner Jackson
• Fredda Nakia Jackson, MSN, APN-C
• Unjeria Jackson, M.D.
• Heidi Elizabeth Jacobsen, PHD
• Jeanne Jacobwitz, CNM
• Latha Jadhav, M.D.
• Leona Jagiello
• Nikhil Jain, DO

• Home Health Aide in Morristown, NJ
• Providers in Morristown, NJ by specialty
• Home Health Aide in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; 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.