JACK DANIEL HALLIGAN MD
NPI 1003437310
Pediatrics in Bronx, NY

Q: What is Jack Halligan's NPI number?

The NPI number for Jack Halligan is 1003437310. It was assigned to this individual provider in the NPPES registry on April 28, 2020.

Q: What is Jack Halligan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Halligan was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 28, 2020

111 E 210TH ST, BRONX, NY 10467(718) 920-4321 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 8, 2025, May 11, 2023, Jun 5, 2020 (3 updates tracked since 2020).

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About Jack Daniel Halligan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK DANIEL HALLIGAN MD (NPI 1003437310) is an individual pediatrics provider in Bronx, New York, licensed in Pennsylvania (MT220997) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1003437310

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameJACK DANIEL HALLIGANCredential: MD

Location Address111 E 210TH STBronx, NY 10467-2401

Mailing Address111 E 210th StBronx, NY 10467-2401 · (718) 920-4321

Phone(718) 920-4321

Sole ProprietorYes

Enumeration DateApril 28, 2020

Last NPPES UpdateApril 8, 20253 updates tracked since enumeration

NPPES CertifiedApril 8, 2025

✔ NPI 1003437310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in PA · MT220997

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 325482 (NY)

111 E 210TH ST, Bronx, NY 10467

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MADHU SHARMA MD

Pediatrics (Pediatric Cardiology)

111 E 210TH ST, MONTEFIORE MEDICAL CENTER
BRONX, NY 10467

Bronx County (718) 741-2538

DR. AMANDA MCNEAR JACOBS M.D.

Pediatrics (Adolescent Medicine)

111 E 210TH ST, DEPARTMENT OF PEDIATRICS
BRONX, NY 10467

Bronx County (718) 920-2306

HEATHER ROOT MD

Internal Medicine (Infectious Disease)