Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jackson Family Practice LLC

Organization Family Medicine Physician · NPI 1922244060

Jackson Family Practice LLC is a Family Medicine Physician in Freehold, New Jersey. Licensed in New Jersey. Registered with an NPI since 2008.

Licensed in
NJ
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

80 Scenic Dr Ste 6
Freehold, NJ 07728-5210
Phone: (732) 683-0010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 25MB05981900 (NJ)

Record details

NPI number1922244060
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Miah Kim — Owner · (732) 683-0010
NPI enumeratedDecember 19, 2008
Last updated in NPPESJune 21, 2018
Mailing address80 Scenic Dr, Suite 6, Freehold, NJ 07728-5210

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