KEITH RYAN JACKSON MD PC
NPI 1326216847
Dermatology in Staten Island, NY
About Keith Ryan Jackson Md Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEITH RYAN JACKSON MD PC (NPI 1326216847) is a healthcare organization registered as a dermatology in Staten Island, New York and active in the NPI registry since February 2008. The organization lists Keith Ryan Jackson, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
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.
STATEN ISLAND, NY 10304
STATEN ISLAND, NY 10304
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 Keith Ryan Jackson MD PC's NPI number?
The NPI number for Keith Ryan Jackson MD PC is 1326216847. It was assigned to this organization in the NPPES registry on February 19, 2008.
Where is Keith Ryan Jackson MD PC located?
Keith Ryan Jackson MD PC is located at 11 Ralph Pl Suite 209, Staten Island, NY 10304. The listed phone number is (718) 727-1331.
What is Keith Ryan Jackson MD PC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
When was this NPI record last updated?
The NPPES record for Keith Ryan Jackson MD PC was last updated on May 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.