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DR. ALEXA BRIANNA NICOLE JACK MD
NPI 1699612200
Student in an Organized Health Care Education/Training Program in Far Rockaway, NY

Active since May 01, 2026
327 BEACH 19TH ST, FAR ROCKAWAY, NY 11691(718) 869-7107 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Alexa Brianna Nicole Jack Md NPPES

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

DR. ALEXA BRIANNA NICOLE JACK MD (NPI 1699612200) is an individual student in an organized health care education/training program in Far Rockaway, New York and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1699612200
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. ALEXA BRIANNA NICOLE JACKCredential: MD
Location Address327 BEACH 19TH STFar Rockaway, NY 11691-4423
Mailing Address327 Beach 19th StFar Rockaway, NY 11691-4423 · (718) 869-7000
Phone(718) 869-7107
Sole ProprietorNo
Enumeration DateMay 1, 2026
NPPES CertifiedMay 1, 2026
✔ NPI 1699612200 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.
327 BEACH 19TH ST, Far Rockaway, NY 11691
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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.

DANNIYA SAMUEL PA-C
Physician Assistant
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691
Queens County (718) 869-7000
DR. ADRIANO YASHAR MD
Student in an Organized Health Care Education/Training Program
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691
Queens County (718) 869-7108
DR. VINEETA DAMINENI MD
Student in an Organized Health Care Education/Training Program
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691
Queens County (718) 869-7248
SARAH DIANA SINGH
Student in an Organized Health Care Education/Training Program
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691
Queens County (718) 869-7000
ANTHONY JOSEPH PAGAN PA-C
Physician Assistant
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691
Queens County (718) 869-7000
ST JOHN'S MEDICAL SERVICES PC
Internal Medicine
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691
Queens County (718) 869-7641
DANIEL JONATHAN WONG DPM
Podiatrist (Foot & Ankle Surgery)
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691
Queens County (718) 869-7000
ALYSSA CURCIO
Student in an Organized Health Care Education/Training Program
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691
Queens County (718) 869-7000

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 Alexa Jack's NPI number?

The NPI number for Alexa Jack is 1699612200. It was assigned to this individual provider in the NPPES registry on May 1, 2026.

Where is Alexa Jack located?

Alexa Jack practices at 327 Beach 19th St, Far Rockaway, NY 11691. The listed phone number is (718) 869-7107.

What is Alexa Jack'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 Alexa Jack was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.