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

Individual provider Anesthesiology Physician · NPI 1033772603

Dr. Jonathan Jackson, MD is an Anesthesiology in Boston, Massachusetts. Qualified in 2020, 6 years ago. Practices with North Shore - Lij Anesthesiology, PC, a 1,004-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
6
Licensed in
MA
In the registry since
2019
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

55 Fruit St
Boston, MA 02114-2621
Phone: (617) 726-3030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1468 Madison Ave Fl 8, New York, NY 10029-6508 — (212) 241-7473

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Anesthesiology Physician Taxonomy 207L00000X · Licence 1018356 (MA)

Record details

NPI number1033772603
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 18, 2019
Last updated in NPPESJune 23, 2024
Certification dateJune 23, 2024

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice North Shore - Lij Anesthesiology, Pc — 1004 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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