Douglas T Jackson, MD
Anesthesiology, Critical Care Medicine in Newark, New Jersey
1962472407- Practice location
- 150 Bargen St, F 102, Newark, NJ 07103
- Phone
- 973-972-3555
- Fax
- 973-972-3510
- Last updated
- July 13, 2026
Douglas T Jackson is an Anesthesiology, Critical Care Medicine based in Newark, NJ. Douglas T Jackson practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Douglas T Jackson is 1962472407 and holds a License No. 25MA06601400 (NJ). The current practice location address for Douglas T Jackson is 150 Bargen St, F 102, Newark, NJ 07103 and can be reached out via phone at 973-972-3555 and via fax at 973-972-3510.
Provider Profile Details
- NPI Number
- 1962472407
- Provider Name
- Douglas T Jackson
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 150 Bargen St, F 102, Newark, NJ 07103
- Phone Number
- 973-972-3555
- Fax Number
- 973-972-3510
- Primary Taxonomy
- Anesthesiology, Critical Care Medicine · 207LC0200X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 26, 2006
- Last Update Date
- July 13, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 150 Bargen St
F 102
Newark, NJ 07103 - City
- Newark
- State
- New Jersey
- Zip
- 07103
- Phone Number
- 973-972-3555
- Fax Number
- 973-972-3510
Provider Business Mailing Address Details
- Address
- Po Box 18925
Newark, NJ 07191 - City
- Newark
- State
- NJ
- Zip
- 07191
- Phone Number
- 973-972-3555
- Fax Number
- 973-972-3510
License Information
- License Number
- 25MA06601400
- License State
- NJ
- Taxonomy
- Anesthesiology, Critical Care Medicine · 207LC0200X · 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 Douglas T Jackson, MD?
The NPI number of Douglas T Jackson, MD is 1962472407. It was assigned on January 26, 2006 and is currently active in the NPPES registry.
What is the specialty of Douglas T Jackson, MD?
Douglas T Jackson, MD is registered under the primary taxonomy Anesthesiology, Critical Care Medicine (code 207LC0200X), licensed in NJ under license number 25MA06601400.
Where does Douglas T Jackson, MD practice?
The practice location is 150 Bargen St, F 102, Newark, NJ 07103. The office can be reached at 973-972-3555 (phone) or 973-972-3510 (fax).
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 1962472407 directly on the NPPES registry website.