Jackqueline A Williams Clifton

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

26NH1735120 Issued in NJ

Practice address

35 Journal SQ Ste 425
Jersey City, NJ 07306-4007

Phone

(201) 680-7158

NPI assigned

Aug 10, 2022

Last updated

Aug 10, 2022By 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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1689302366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 JOURNAL SQ STE 425",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073064007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 JOURNAL SQ STE 425",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073064007",
            "telephone_number": "201-680-7158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS CLIFTON",
        "first_name": "JACKQUELINE",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NJ",
            "license": "26NH1735120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HHA LICENSE",
            "identifier": "26NH1735120",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Constance Wieczorek, LSW
• Celina Marie Wigle-Olias-Varga, LSW
• Samantha Hope Wilcox, PA-C
• Dafna Rachel Wild, PA
• Lietea Wilkins
• Antonio Williams, CADC
• Celeste Williams
• James Dashuan Williams, LCSW, LCADC, CCTP
• Jestina Williams, LPN
• Tawana Monique Williams

• Home Health Aide in Jersey City, NJ
• Providers in Jersey City, 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 Aug 10, 2022; 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.