Dr. Michael B Jackson, MD
Psychiatry & Neurology, Psychiatry in Hoboken, New Jersey
1073600896- Practice location
- 80 River St, 3D, Hoboken, NJ 07030-5626
- Phone
- 201-244-7799
- Fax
- —
- Last updated
- September 10, 2019
Michael B. Jackson is a Psychiatry & Neurology, Psychiatry based in Hoboken, NJ. Michael B. Jackson practices in Hoboken, NJ and has the professional credentials of MD. The NPI Number for Michael B. Jackson is 1073600896 and holds a License No. 25MA08023100 (NJ). The current practice location address for Michael B. Jackson is 80 River St, 3D, Hoboken, NJ 07030-5626 and can be reached out via phone at 201-244-7799.
Provider Profile Details
- NPI Number
- 1073600896
- Provider Name
- Michael B. Jackson
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 80 River St, 3D, Hoboken, NJ 07030-5626
- Phone Number
- 201-244-7799
- Primary Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 5, 2006
- Last Update Date
- September 10, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 80 River St
3D
Hoboken, NJ 07030-5626 - City
- Hoboken
- State
- New Jersey
- Zip
- 07030-5626
- Phone Number
- 201-244-7799
Provider Business Mailing Address Details
- Address
- 112 Churchill RD
Tenafly, NJ 07670-3120 - City
- Tenafly
- State
- NJ
- Zip
- 07670-3120
- Phone Number
- 201-588-9475
License Information
- License Number (1)
- 25MA08023100
- License State (1)
- NJ
- Taxonomy (1)
- Psychiatry & Neurology, Forensic Psychiatry · 2084F0202X
- License Number (2)
- 25ma08023100
- License State (2)
- NJ
- Taxonomy (2)
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- License Number (3)
- 234087
- License State (3)
- NY
- Taxonomy (3)
- Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Michael B Jackson, MD?
The NPI number of Dr. Michael B Jackson, MD is 1073600896. It was assigned on October 5, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Michael B Jackson, MD?
Dr. Michael B Jackson, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in NJ under license number 25MA08023100.
Where does Dr. Michael B Jackson, MD practice?
The practice location is 80 River St, 3D, Hoboken, NJ 07030-5626. The office can be reached at 201-244-7799 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073600896 directly on the NPPES registry website.