Active NPIIndividual provider

Marvin L Jackson Jr.

Peer Specialist in Ocean, New Jersey

NPI Number1437884970
Practice location
1405 Hwy 35, Ocean, NJ 07712-3532
Fax
—
Last updated
July 19, 2022

Marvin Lee Jackson is a Peer Specialist based in Ocean, NJ. Marvin Lee Jackson practices in Ocean, NJ. The NPI Number for Marvin Lee Jackson is 1437884970. The current practice location address for Marvin Lee Jackson is 1405 Hwy 35, Ocean, NJ 07712-3532 and can be reached out via phone at 732-367-4700.

Provider Profile Details

NPI Number
1437884970
Provider Name
Marvin Lee Jackson
Provider Entity Type
Individual
Gender
Male
Address
1405 Hwy 35, Ocean, NJ 07712-3532
Phone Number
732-367-4700
Primary Taxonomy
Peer Specialist · 175T00000X
Sole Proprietor
No
Provider Enumeration Date
July 19, 2022
Last Update Date
July 19, 2022
Certification Date
July 19, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
1405 Hwy 35
Ocean, NJ 07712-3532
City
Ocean
Zip
07712-3532
Phone Number
732-367-4700
Ocean, NJ 07712Get directions →

Provider Business Mailing Address Details

Address
Po Box 2036
Lakewood, NJ 08701-8036
City
Lakewood
State
NJ
Zip
08701-8036
Phone Number
732-367-4700

License Information

License State
NJ
Taxonomy
Peer Specialist · 175T00000X · 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 Marvin L Jackson Jr.?

The NPI number of Marvin L Jackson Jr. is 1437884970. It was assigned on July 19, 2022 and is currently active in the NPPES registry.

What is the specialty of Marvin L Jackson Jr.?

Marvin L Jackson Jr. is registered under the primary taxonomy Peer Specialist (code 175T00000X).

Where does Marvin L Jackson Jr. practice?

The practice location is 1405 Hwy 35, Ocean, NJ 07712-3532. The office can be reached at 732-367-4700 (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 1437884970 directly on the NPPES registry website.

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