Provider Type Icon

DR. JAY RUSWIN JACKSON MD NPI 1720010390


NPI Information

NPI: 1720010390
Provider Name: DR. JAY RUSWIN JACKSON, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Address:
2050 S QUEEN ST
STE 200
YORK, PA
ZIP 17403
Phone: (717) 812-2316
Get Directions

DR. Jay Ruswin Jackson, MD is an obstetrics gynecology in York, PA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DR. Jay Ruswin Jackson, MD NPI is 1720010390. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2050 S QUEEN ST
STE 200
YORK, PA
ZIP 17403-829
Phone: (717) 812-2316
Fax: (717) 848-5540

The enumeration date for this NPI number is 7/6/2006 and was last updated on 2/10/2014.


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
1207V00000XObstetrics & GynecologyMD016808EPENNSYLVANIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000768337MEDICAIDPENNSYLVANIA
21519360OTHERPENNSYLVANIAGATEWAY-WMG
3C28645MEDICARE UPINPENNSYLVANIA
480827OTHERPENNSYLVANIAUNISON-WMG
501475302OTHERPENNSYLVANIACAPITAL BLUE CROSS-WMG
67312OTHERPENNSYLVANIAGEISINGER
7060973EZ3MEDICARE PINPENNSYLVANIA
80068408000OTHERPENNSYLVANIAAMERIHEALTH 65 PA
9030261OTHERPENNSYLVANIAJOHNS HOPKINS
10060973OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
111142788OTHERPENNSYLVANIAAMERIHEALTH MERCY-WMG
124296841OTHERPENNSYLVANIAAETNA
13433281OTHERPENNSYLVANIAMAMSI-WMG
14525991OTHERMARYLANDCAREFIRST MD BCBS
15060973FLTMEDICARE PINPENNSYLVANIA
16160030702MEDICARE PINPENNSYLVANIA

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.