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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DOUGLAS T JACKSON MD
NPI 1962472407
Anesthesiology - Critical Care Medicine in Newark, NJ

Active since January 26, 2006
150 BARGEN ST, F 102, NEWARK, NJ 07103(973) 972-3555(973) 972-3510 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Douglas T Jackson Md NPPES

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

DOUGLAS T JACKSON MD (NPI 1962472407) is an individual critical care medicine provider in Newark, New Jersey, licensed in New Jersey (25MA06601400) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1962472407
Entity TypeIndividualMale
Primary Taxonomy207LC0200X
Provider Legal NameDOUGLAS T JACKSONCredential: MD
Location Address150 BARGEN ST, F 102Newark, NJ 07103
Mailing AddressPo Box 18925Newark, NJ 07191 · (973) 972-3555 · Fax (973) 972-3510
Phone(973) 972-3555
Fax(973) 972-3510
Sole ProprietorNo
Enumeration DateJanuary 26, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1962472407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LC0200X
License✔ Licensed in NJ · 25MA06601400
Definition
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.
150 BARGEN ST, Newark, NJ 07103
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Other Identifiers 1

Medicaid6716407NJ

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 Douglas Jackson's NPI number?

The NPI number for Douglas Jackson is 1962472407. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Where is Douglas Jackson located?

Douglas Jackson practices at 150 Bargen St F 102, Newark, NJ 07103. The listed phone number is (973) 972-3555.

What is Douglas Jackson's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Critical Care Medicine, with taxonomy code 207LC0200X.

When was this NPI record last updated?

The NPPES record for Douglas Jackson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.