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MADELINE JACK M.D NPI 1093731507


NPI Information

NPI: 1093731507
Provider Name: MADELINE JACK, M.D
Classification: Social Worker - 104100000X
Entity Type: Individual
Organization: RYAN-CHELSEA CLINTON COMMUNITY HEALTH CENTER

PECOS Registration: Yes

Address:
15W 72ND ST 4O
NEW YORK, NY
ZIP 10023
Phone: (212) 579-8166
Get Directions

Madeline Jack, M.D is a social worker in New York, NY with 30 years of experience. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. Madeline Jack, M.D NPI is 1093731507. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

15W 72ND ST 4O
NEW YORK, NY
ZIP 10023-424
Phone: (212) 579-8166
Fax: (212) 579-8166

The NPI 1093731507 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 7/15/2006 and was last updated on 8/21/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1104100000XSocial WorkerR-0492261NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.