TALICIA JACKSON MD
NPI 1053932178
Obstetrics & Gynecology in Newark, NJ
About Talicia Jackson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TALICIA JACKSON MD (NPI 1053932178) is an individual obstetrics & gynecology provider in Newark, New Jersey, licensed in New Jersey (5MA12190200) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with The University Hospital, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Talicia Jackson Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
The University Hospital
Acute Care Hospitals · Newark, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEWARK, NJ 07103
NEWARK, NJ 07103
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Talicia Jackson's NPI number?
The NPI number for Talicia Jackson is 1053932178. It was assigned to this individual provider in the NPPES registry on April 29, 2020.
Where is Talicia Jackson located?
Talicia Jackson practices at 140 Bergen St # C, Newark, NJ 07103. The listed phone number is (973) 972-2700.
What is Talicia Jackson's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Talicia Jackson enrolled in Medicare?
Yes. Talicia Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Talicia Jackson affiliated with any hospitals?
According to CMS data, Talicia Jackson is affiliated with The University Hospital.
When was this NPI record last updated?
The NPPES record for Talicia Jackson was last updated on September 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Talicia Jackson, MD · NPI 1053932178
Obstetrics & Gynecology physician in Newark, New Jersey. Individual provider, active in the CMS NPPES registry since April 29, 2020.
## Identity
- **NPI:** 1053932178 (Entity type: Individual)
- **Enumerated:** April 29, 2020
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 5MA12190200 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 140 BERGEN ST # C, Newark, NJ 07103-2425
- **Phone:** (973) 972-2700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** September 30, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1053932178) · Data from the CMS NPPES public registry.