JACKSON MEDIA INC NPI 1114708260

NPI Information

  • NPI: 1114708260
  • Provider Name: JACKSON MEDIA INC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Address: 4210 27TH ST
    LONG ISLAND CITY, NY
    ZIP 11101
  • Phone: (209) 432-5576

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NPI Details

JACKSON MEDIA INC is a durable medical equipment medical supplies in Long Island City, NY. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. JACKSON MEDIA INC NPI is 1114708260. The provider is registered as an organization entity type.

The provider's business location address is:

4210 27TH ST
LONG ISLAND CITY, NY
ZIP 11101-087
Phone: (209) 432-5576
Fax: (209) 432-5590

The provider's authorized official is Wesley Jackson .
The authorized official title is Ceo and has the following contact phone number (916) 604-4793.

The enumeration date for this NPI number is 10/12/2023 and was last updated on 10/12/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

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: 11/21/2025

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