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

Marilyn M. Jackson, MD, MPH, PLLC

Organization Internal Medicine Physician · NPI 1053462986

Marilyn M. Jackson, MD, MPH, PLLC is an Internal Medicine Physician in New York, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

421 W 57th St Ste B
New York, NY 10019-1763
Phone: (212) 247-8023
Fax: (212) 247-8024
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 189136 (NY)

Record details

NPI number1053462986
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marilyn Jackson — Ceo · (917) 549-5268
NPI enumeratedJanuary 16, 2007
Last updated in NPPESOctober 15, 2007
Mailing address421 W 57th St, Suite B, New York, NY 10019-1763

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