Active NPIIndividual provider

Alexandra Jackovich, MD

Surgery in Newark, New Jersey

NPI Number1417643701
Practice location
185 S Orange Ave Bldg G-595, Newark, NJ 07103-2757
Fax
—
Last updated
April 14, 2025

Alexandra Jackovich is a Surgery based in Newark, NJ. Alexandra Jackovich practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Alexandra Jackovich is 1417643701 and holds a License No. P24-01320 (NJ). The current practice location address for Alexandra Jackovich is 185 S Orange Ave Bldg G-595, Newark, NJ 07103-2757 and can be reached out via phone at 973-972-5018.

Provider Profile Details

NPI Number
1417643701
Provider Name
Alexandra Jackovich
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
185 S Orange Ave Bldg G-595, Newark, NJ 07103-2757
Phone Number
973-972-5018
Primary Taxonomy
Surgery · 208600000X
Sole Proprietor
No
Provider Enumeration Date
April 11, 2023
Last Update Date
April 14, 2025
Certification Date
April 14, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
185 S Orange Ave Bldg G-595
Newark, NJ 07103-2757
City
Newark
Zip
07103-2757
Phone Number
973-972-5018
Newark, NJ 07103Get directions →

Provider Business Mailing Address Details

Address
185 S Orange Ave Bldg G-595
Newark, NJ 07103-2757
City
Newark
State
NJ
Zip
07103-2757
Phone Number
973-972-5018

License Information

License Number
P24-01320
License State
NJ
Taxonomy
Surgery · 208600000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Alexandra Jackovich, MD?

The NPI number of Alexandra Jackovich, MD is 1417643701. It was assigned on April 11, 2023 and is currently active in the NPPES registry.

What is the specialty of Alexandra Jackovich, MD?

Alexandra Jackovich, MD is registered under the primary taxonomy Surgery (code 208600000X), licensed in NJ under license number P24-01320.

Where does Alexandra Jackovich, MD practice?

The practice location is 185 S Orange Ave Bldg G-595, Newark, NJ 07103-2757. The office can be reached at 973-972-5018 (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 1417643701 directly on the NPPES registry website.

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