DOUGLAS T JACKSON MD
NPI 1962472407
Anesthesiology - Critical Care Medicine in Newark, NJ
NPI Status: Active since January 26, 2006
Contact Information
150 BARGEN ST
F 102
NEWARK, NJ
ZIP 07103
Phone: (973) 972-3555
Fax: (973) 972-3510
- Individual
- Male
- Anesthesiology
- Critical Care Medicine
About DOUGLAS JACKSON
This page provides the complete NPI Profile along with additional information for Douglas Jackson, a provider established in Newark, New Jersey with a medical specialization in Anesthesiology, focusing in critical care medicine . The healthcare provider is registered in the NPI registry with number 1962472407 assigned on January 2006. The practitioner's primary taxonomy code is 207LC0200X with license number 25MA06601400 (NJ). The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1962472407
- Provider Name
- DOUGLAS T JACKSON MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 150 BARGEN ST F 102 NEWARK, NJ 07103
- Location Phone
- (973) 972-3555
- Location Fax
- (973) 972-3510
- Mailing Address
- PO BOX 18925 NEWARK, NJ 07191
- Mailing Phone
- (973) 972-3555
- Mailing Fax
- (973) 972-3510
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-26-2006
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Anesthesiology Critical Care Medicine
- Taxonomy Code
- 207LC0200X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 25MA06601400
- License State
- NJ
- Taxonomy Description
- An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 003800 | MEDICARE ID-TYPE UNSPECIFIED (04) | NJ | |
| 6716407 | MEDICAID (05) | NJ | |
| B19826 | MEDICARE UPIN (02) |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1962472407, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962472407, enumerated as an "individual" on January 26, 2006.
The provider is located at 150 BARGEN ST F 102 NEWARK, NJ 07103 and the phone number is (973) 972-3555.
Anesthesiology with taxonomy code 207LC0200X and a focus in Critical Care Medicine.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
