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MR. SAMUEL JACKSON
NPI 1659020634
Student in an Organized Health Care Education/Training Program in New York, NY

Active since March 18, 2022
1 PARK AVE FL 7, NEW YORK, NY 10016(646) 754-5000 Get Directions Write a Review

NPPES record last updated: March 18, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Samuel Jackson NPPES

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

MR. SAMUEL JACKSON (NPI 1659020634) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1659020634
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. SAMUEL JACKSON
Location Address1 PARK AVE FL 7New York, NY 10016-5818
Mailing Address6400 Saunders St Apt 3kRego Park, NY 11374-3123
Phone(646) 754-5000
Sole ProprietorNo
Enumeration DateMarch 18, 2022
NPPES CertifiedMarch 18, 2022
✔ NPI 1659020634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1 PARK AVE FL 7, New York, NY 10016
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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.

STEPHANIE LAURA MICHELE RADEMEYER MD
Psychiatry & Neurology (Psychiatry)
1 PARK AVE FL 7
NEW YORK, NY 10016
New York County (646) 754-5000
RAHIL KAMATH PSYM
Student in an Organized Health Care Education/Training Program
1 PARK AVE FL 7
NEW YORK, NY 10016
New York County (646) 754-5000
DR. ASHLEY LARA VALENCIA MD
Psychiatry & Neurology (Psychiatry)
1 PARK AVE FL 7
NEW YORK, NY 10016
New York County (509) 969-6493
HALEY RYAN BERKA
Psychiatry & Neurology (Psychiatry)
1 PARK AVE FL 7
NEW YORK, NY 10016
New York County (646) 754-5414
LORIEN BAKER PHD
Psychologist (Clinical Child & Adolescent)
1 PARK AVE FL 7
NEW YORK, NY 10016
New York County (646) 754-7245
GRACE GLIDDEN GERACIOTI LMSW
Social Worker
1 PARK AVE FL 7
NEW YORK, NY 10016
New York County (646) 754-5164
DR. WILLIAM H COE MD, MPH
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1 PARK AVE FL 7
NEW YORK, NY 10016
New York County (646) 754-5419
DR. ROBIN DU MD, MPH
Psychiatry & Neurology (Psychiatry)
1 PARK AVE FL 7
NEW YORK, NY 10016
New York County (646) 754-5000

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 Samuel Jackson's NPI number?

The NPI number for Samuel Jackson is 1659020634. It was assigned to this individual provider in the NPPES registry on March 18, 2022.

Where is Samuel Jackson located?

Samuel Jackson practices at 1 Park Ave Fl 7, New York, NY 10016. The listed phone number is (646) 754-5000.

What is Samuel Jackson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Samuel Jackson was last updated on March 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.