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

Dr. Jeffrey Kline Jackson, MD

Individual provider Family Medicine Physician · NPI 1194764860

Dr. Jeffrey Kline Jackson, MD is a Family Practice in New York, New York. Graduated from University of Texas Medical School at San Antonio in 1997, 29 years ago. Practices with Advantagecare Physicians PC, a 310-clinician group and accepts Medicare assignment. Licensed in Illinois, New York and Pennsylvania.

Years since qualifying
29
Trained at
University of Texas Medical School at San Antonio
Licensed in
IL, NY, PA
In the registry since
2006
Specialties on file
3
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

4337 Broadway
New York, NY 10033-2411
Phone: (212) 568-6300
Fax: (212) 544-5094
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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 332008 (NY)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD456697 (PA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 036100744 (IL)

Record details

NPI number1194764860
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 6, 2006
Last updated in NPPESApril 17, 2025
Certification dateApril 17, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated 1997 (29 years in practice)
Group practice Advantagecare Physicians Pc — 310 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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