DR. CAROLYN CHANG JACKSON MD, MPH
NPI 1326306184
Pediatrics in New York, NY

Q: What is Carolyn Jackson's NPI number?

The NPI number for Carolyn Jackson is 1326306184. It was assigned to this individual provider in the NPPES registry on April 30, 2012. The provider is also known as Dr. Carolyn Chang MD, Mph.

Q: What is Carolyn Jackson'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 Carolyn Jackson was last updated on April 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since April 30, 2012PECOS Enrolled

1275 YORK AVE, NEW YORK, NY 10065(212) 639-5966 Get Directions Write a Review

NPPES record last updated: April 30, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Carolyn Chang Jackson Md, Mph NPPES

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

DR. CAROLYN CHANG JACKSON MD, MPH (NPI 1326306184) is an individual pediatrics provider in New York, New York, licensed in New York (264002) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326306184

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. CAROLYN CHANG JACKSONCredential: MD, MPH

Location Address1275 YORK AVENew York, NY 10065-6007

Mailing Address1275 York AveNew York, NY 10065-6007

Phone(212) 639-5966

Sole ProprietorNo

Enumeration DateApril 30, 2012

✔ NPI 1326306184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NY · 264002

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 ListedPediatrics · Pediatric Hematology-OncologyTaxonomy 2080P0207X · License 264002 (NY)

1275 YORK AVE, New York, NY 10065

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Other Names 1

Former Name (1)Dr. Carolyn Chang Md, Mph

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Carolyn Chang Jackson Md, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10065 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$102.04 typical visit price

range $65.69 – $198.19

Typical copayment $25.51 (range $16.42 – $49.54)

Most-billed visit code 99203

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MRS. ZANA CORREA NP

Nurse Practitioner (Adult Health)