ERIC JACKSON MD LLC NPI 1215471743

NPI Information

  • NPI: 1215471743
  • Provider Name: ERIC JACKSON MD, LLC
  • Classification: Internal Medicine - 207RC0200X
  • Specialization: Critical Care Medicine
  • Entity Type: Organization
  • Address: 16 RIDGE RD
    NORTH ARLINGTON, NJ
    ZIP 07031
  • Phone: (201) 997-1010

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NPI Details

ERIC JACKSON MD, LLC is a critical care medicine internal medicine in North Arlington, NJ. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. ERIC JACKSON MD, LLC NPI is 1215471743. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16 RIDGE RD
NORTH ARLINGTON, NJ
ZIP 07031-339
Phone: (201) 997-1010
Fax: (201) 997-7436

The provider's authorized official is Eric Jackson .
The authorized official title is Physician/owner and has the following contact phone number (201) 997-1010.

The enumeration date for this NPI number is 12/19/2016 and was last updated on 12/19/2016.

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
1207RC0200XInternal MedicineCritical Care MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1D20034MEDICARE UPINNEW JERSEY

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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