MEDICARE: ERIC M JACKSON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	25MA03676900	NJ
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	25MA03676900	NJ

General Provider Information

NPI Number	:	1235131251
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC M JACKSON M.D.

Provider Business Mailing Address
First Line	:	16-18 RIDGE ROAD
Second Line	:
City	:	NORTH ARLINGTON
State	:	NJ
Zip	:	07031-6314
Country	:	US
Telephone Number	:	201-997-1010
Fax Number	:	201-997-7436

Provider Business Practice Location Address
First Line	:	16-18 RIDGE ROAD
Second Line	:
City	:	NORTH RLINGTON
State	:	NJ
Zip	:	07031-6314
Country	:	US
Telephone Number	:	201-997-1010
Fax Number	:	201-997-7436

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	06/09/2014

Similar Medicare Providers

1447252291 — PRIME CARE MEDICAL ASSOCIATES
Practice Location Address:

16-18 RIDGE RD
NORTH ARLINGTON, NJ
07031-6314

Practice Phone: 201-997-1010
Practice Fax: 201-997-7436

1831109644 — NEJATFARD DENTAL CORPORATION
Practice Location Address:

6314 LAUREL CANYON BLVD # 104
NORTH HOLLYWOOD, CA
91606-3213

Practice Phone: 818-210-0515
Practice Fax:

1659467009 — PAUL I LEW DDS INC
Practice Location Address:

6314 NORTH RUCKER ROAD , SUITE B
INDIANAPOLIS, IN
46220-4895

Practice Phone: 317-253-8004
Practice Fax: 317-253-3861

1164501144 — ERIC MINTZER DDS
Practice Location Address:

6314 LAUREL CANYON BLVD
NORTH HOLLYWOOD, CA
91606-3213

Practice Phone: 818-769-3038
Practice Fax:

1063744712 — MS. MELISSA JO ANNE GUTIERREZ PSR
Practice Location Address:

2220 NORTH CLASSEN BLVD SUITE E
OKLAHOMA CITY, OK
73106-6314

Practice Phone: 405-528-1748
Practice Fax: 405-528-1802

1609878438 — DR. BOZENA W BITNER MD
Practice Location Address:

312 BELLEVILLE TPKE , SUITE 1C
NORTH ARLINGTON, NJ
07031-6463

Practice Phone: 201-997-4040
Practice Fax: 201-997-4040

Directions to “ ERIC M JACKSON M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.