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

Individual provider Anesthesiology Physician · NPI 1588907240

Dr. Jacob Cole Jackson, MD is an Anesthesiology in New York, New York. Qualified in 2013, 13 years ago. Practices with Memorial Anesthesiology Group, a 301-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
13
Licensed in
NJ, NY
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

525 E 68th St Box 124
New York, NY 10065-4870
Phone: (212) 746-2959
Fax: (212) 746-8563
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 288525 (NY)
Anesthesiology Physician Taxonomy 207L00000X · Licence 25MA10388000 (NJ)

Record details

NPI number1588907240
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 1, 2013
Last updated in NPPESJune 12, 2025
Certification dateJune 12, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Memorial Anesthesiology Group — 301 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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