Active NPIIndividual provider

Kurt T Jackson, MD

Ophthalmology, Retina Specialist in Livingston, New Jersey

NPI Number1619161858
Practice location
22 Old Short Hills RD Ste 202, Livingston, NJ 07039-5605
Fax
—
Last updated
January 27, 2025

Kurt T Jackson is an Ophthalmology, Retina Specialist based in Livingston, NJ. Kurt T Jackson practices in Livingston, NJ and has the professional credentials of MD. The NPI Number for Kurt T Jackson is 1619161858 and holds a License No. 25MA09011700 (NJ). The current practice location address for Kurt T Jackson is 22 Old Short Hills RD Ste 202, Livingston, NJ 07039-5605 and can be reached out via phone at 201-961-3975.

Provider Profile Details

NPI Number
1619161858
Provider Name
Kurt T Jackson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
22 Old Short Hills RD Ste 202, Livingston, NJ 07039-5605
Phone Number
201-961-3975
Primary Taxonomy
Ophthalmology, Retina Specialist · 207WX0107X
Sole Proprietor
No
Provider Enumeration Date
August 30, 2007
Last Update Date
January 27, 2025
Certification Date
January 27, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
22 Old Short Hills RD Ste 202
Livingston, NJ 07039-5605
Zip
07039-5605
Phone Number
201-961-3975
Livingston, NJ 07039Get directions →

Provider Business Mailing Address Details

Address
22 Old Short Hills RD Ste 202104
Livingston, NJ 07039-5604
City
Livingston
State
NJ
Zip
07039-5604
Phone Number
201-961-3975
Fax Number
973-707-7349

License Information

License Number (1)
25MA09011700
License State (1)
NJ
Taxonomy (1)
Ophthalmology, Retina Specialist · 207WX0107X · Primary
License Number (2)
25MA09011700
License State (2)
NJ
Taxonomy (2)
Ophthalmology · 207W00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Ophthalmology, Retina Specialists near Livingston, NJ

View all Ophthalmology, Retina Specialists in Livingston →

Frequently Asked Questions

What is the NPI number of Kurt T Jackson, MD?

The NPI number of Kurt T Jackson, MD is 1619161858. It was assigned on August 30, 2007 and is currently active in the NPPES registry.

What is the specialty of Kurt T Jackson, MD?

Kurt T Jackson, MD is registered under the primary taxonomy Ophthalmology, Retina Specialist (code 207WX0107X), licensed in NJ under license number 25MA09011700.

Where does Kurt T Jackson, MD practice?

The practice location is 22 Old Short Hills RD Ste 202, Livingston, NJ 07039-5605. The office can be reached at 201-961-3975 (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 1619161858 directly on the NPPES registry website.

Browse related providers