DR. CONDII Q JACKSON DPM
NPI 1871750463
Assistant, Podiatric in West Islip, NY

Q: What is Condii Jackson's NPI number?

The NPI number for Condii Jackson is 1871750463. It was assigned to this individual provider in the NPPES registry on May 21, 2008.

Q: What is Condii Jackson's specialty?

The primary specialty registered for this NPI is Assistant, Podiatric with taxonomy code 211D00000X.

Q: When was this NPI record last updated?

The NPPES record for Condii Jackson was last updated on May 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 May 21, 2008

1000 MONTAUK HWY, WEST ISLIP, NY 11795(631) 376-6000 Get Directions Write a Review

NPPES record last updated: May 21, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Condii Q Jackson Dpm NPPES

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

DR. CONDII Q JACKSON DPM (NPI 1871750463) is an individual assistant, podiatric provider in West Islip, New York and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1871750463

Entity TypeIndividualFemale

Primary Taxonomy211D00000X

Provider Legal NameDR. CONDII Q JACKSONCredential: DPM

Location Address1000 MONTAUK HWYWest Islip, NY 11795-4927

Mailing Address1000 Montauk HwyWest Islip, NY 11795-4927 · (631) 376-6000

Phone(631) 376-6000

Sole ProprietorNo

Enumeration DateMay 21, 2008

✔ NPI 1871750463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssistant, PodiatricPodiatric Medicine & Surgery Service Providers

Taxonomy Code211D00000X

Definition

An individual who assists a podiatrist in tasks, such as exposing and developing x-rays; taking and recording patient histories; assisting in biomechanical evaluations and negative castings; preparing and sterilizing instruments and equipment; providing the patient with postoperative instructions; applying surgical dressings; preparing the patient for treatment, padding, and strapping; and performing routine office procedures.

1000 MONTAUK HWY, West Islip, NY 11795

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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.

DR. ANTHONY NGUYEN MD

Obstetrics & Gynecology

1000 MONTAUK HWY
WEST ISLIP, NY 11795

Suffolk County (631) 376-4163

LAUREN MARIE CHOBAN DO

Emergency Medicine

1000 MONTAUK HWY
WEST ISLIP, NY 11795

Suffolk County (631) 376-3000

MISS MUNMUN AZIZ MD

Student in an Organized Health Care Education/Training Program

1000 MONTAUK HWY
WEST ISLIP, NY 11795

Suffolk County (929) 340-5665

TERENCE JAMES OMALLEY MD

Anesthesiology

1000 MONTAUK HWY, GOOD SAMARITAN HOSPITAL MEDICAL CENTER
WEST ISLIP, NY 11795

Suffolk County (631) 376-4088

PIOTR PAPUZINSKI MD

Internal Medicine

1000 MONTAUK HWY
WEST ISLIP, NY 11795

Suffolk County (631) 376-3000

LAURIE WATERS PA

Physician Assistant

1000 MONTAUK HWY
WEST ISLIP, NY 11795

Suffolk County (631) 376-3000

SHELLEY MATSON RN

Registered Nurse

1000 MONTAUK HWY
WEST ISLIP, NY 11795

Suffolk County (631) 376-3000

RIDDA MANZOOR MD

Student in an Organized Health Care Education/Training Program

1000 MONTAUK HWY
WEST ISLIP, NY 11795

Suffolk County (631) 376-4163

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 Condii Jackson's NPI number?

The NPI number for Condii Jackson is 1871750463. It was assigned to this individual provider in the NPPES registry on May 21, 2008.

Where is Condii Jackson located?

Condii Jackson practices at 1000 Montauk Hwy, West Islip, NY 11795. The listed phone number is (631) 376-6000.

What is Condii Jackson's specialty?

The primary specialty registered for this NPI is Assistant, Podiatric with taxonomy code 211D00000X.

When was this NPI record last updated?

The NPPES record for Condii Jackson was last updated on May 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.